Billing Code Product Name Description Size
01.01.01 - Aphakic
01.01.01.01 - Rigid
Minimum
Benefit
Maximum
Benefit
Condition
Part A - Prostheses List September 2016
Billing Code Product Name Description Size
01.01.01 - Aphakic
01.01.01.01 - Rigid
Minimum
Benefit
Maximum
Benefit
Condition
Alcon Laboratories (Aust.) Pty Ltd
AL003 MTA2UO - MTA6UO PMMA +5 to +30 D $140.00
Bausch & Lomb (Australia) Pty Ltd
BL005 Storz (Coburn) Intraocular Lens
121UV; L122UV PMMA Anterior
Chamber Lens
PMMA Anterior Chamber Intraocular lens 1 piece
13.75mm length. 6.0mm optic size, diopter range 3-30d. L122UV: 6.0mm optic, 13.75mm length, power range; 5.0 to 30.0 Diopters
$140.00
AMO Australia Pty Ltd
AO019 Verisyse AC IOL Aphakic Model 5mm Optic Diameter x 8.5 overall length $225.00
Emagin Pty LtdEG009 Artisan Anterior Chamber Intraocular Lens
Aphakia ModelComposition: PMMA 5.00mm Optic Diameter x 8.5 in overall length $225.00
AMO Australia Pty Ltd
AO001 Intraocular Lens: Model AC 51L Duralens PMMA, Anterior Chamber IOL 6.00 mm Optic Diameter x 13.0mm in overall
length
$178.00
AO016 Verisyse AC IOL Phakic Intraocular Lens: Model Myopia.
Composition: PMMA
5mm Optic Diameter x 8.5 overall length; 6mm Optic Diameter x 8.5 overall length
$612.00
AO017 Verisyse AC IOL Phakic Intraocular Lens: Model Hyperopia.
Composition: PMMA
5mm Optic Diameter x 8.5 overall length $612.00
EG012 Artisan Anterior Chamber IOL Phakic Intraocular Lens Myopic / Hyperopic 5.00mm Optic Diameter x 8.5 in overall $612.00
Billing Code Product Name Description Size
t1
Benefit
Benefit
Condition
AMO Australia Pty Ltd
AO030 Verisyse Toric (Custom) Phakic intraocular lens: Model toric 5mm Optic Diameter x 7.5mm overall length $950.00
t1, ifc
Emagin Pty Ltd
EG019 Artisan Toric (Custom) T1 AC Iris clip IOL Toric 5.00mm Optic Diameter x 7.5 Overall $1,035.00
t2AMO Australia Pty Ltd
AO029 Verisyse Toric (Custom) Phakic intraocular lens: Model toric 5mm Optic Diameter x 7.5mm overall length $1,222.00
t2, ifcEmagin Pty Ltd
EG020 Artisan Toric (Custom) T2 AC Iris clip IOL Toric 5.00mm Optic Diameter x 7.5 Overall $1,307.00
1.1.2.2 - Foldable
AO025 VeriFlex Foldable Phakic IOL Anterior chamber foldable phakic silicone
intraocular lens
-2 to -14.5d in 0.5d increments. Overall diameter 8.5mm. Optic 6.0mm
$651.00
EG010 Artiflex Anterior Chamber Intraocular Lens
1.2.1 - Rigid
Optic: Hydrophobic Polysiloxane. Haptic: PMMA
6mm optic diameter x 8.5 in overall length $651.00
AL002 Models MZ60BD, MC50BD,
CZ70BD
Other:PMMA Range of Powers:-10 to +34 D $140.00
Billing Code Product Name Description Size
1.2.2 - Foldable
1.2.2.1 - Microincision
Benefit
Benefit
Condition
Carl Zeiss Pty Ltd
CZ040 CT SPHERIS 209M Micro incision, Spherical aberrated, foldable square-edged single-piece intraocular lens for capsular bag fixation.
Diopter range :0.00 to + 32.0. Optic Size : 6mm Overall Length : 11mm
$290.00
Carl Zeiss Pty Ltd
CZ016 CT ASPHINA 409M ZEISS Micro Incision Aspheric (aberration neutral) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation
CZ017 CT ASPHINA 509M ZEISS Micro Incision Aspheric (aberration correcting) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation
6mm optic, 11mm overall diameter. Diopter range 0.0 to +32.0D (0.5D steps from 10.0 to 30.0D, 1.0D outside this range)
6mm Optic, 11mm overall diameter. Diopter range 0.0 to +32.0D (0.5D steps from 10.0 to 30.0D, 1.0D outside this range)
$328.00
$328.00
Bausch & Lomb (Australia) Pty Ltd
BL026 Akreos AO Micro Incision Lens Micro Incision, posterior chamber, foldable
acrylic, aphakic, anterior & posterior edge modification, preloaded, with aberration control, intraocular lens
6mm optic overall diameter 11.0mm(10D- 15D), 10.7mm (15.50-22D), 10.5mm (22.50-
30D)
$337.00
CZ028 CT ASPHINA 409MP Preloaded, micro incision, aspheric (aberration
neutral), foldable square-edged single piece intraocular lens for capsular bag fixation.
CZ037 CT ASPHINA 509MP Preloaded, micro incision, aspheric (aberration
correcting), foldable square-edged single-piece intraocular lens for capsular bag fixation
Diopter range: 0.0 to 32.0D; Optic size: 6.0mm; Overall length: 11.0mm
Diopter range: 0.0 to + 32.0D; Optic Size: 6.0mm; Overall length: 11.0mm
$337.00
$337.00
DV263 Rayner C-flex Advance Aspheric IOL Mini incision pre-loaded aspheric IOL Power range +8.0 - +34.0 dioptres in 0.5
increments
$337.00
EG016 ARTIS PL E Preloaded Intraocular lens 0 to 35D $337.00
EG017 LUXIOL 60 Preloaded Intraocular lens +10 to +35D $337.00
Billing Code Product Name Description Size
Kevin Grundy (IBD) Pty Ltd
KG015 Rayner C-flex Advance Aspheric IOL Mini incision pre-loaded aspheric IOL Power range +8.0 - +34.0 dioptres in 0.5
increments
Benefit
$337.00
Benefit
Condition
at, pl, t1
Carl Zeiss Pty Ltd
CZ031 | AT TORBI 709MP (Standard Range) | Bitoric, preloaded, micro incision, aspheric | Diopter range: Sph -10.0 to 32.0, Cyl +1.0 to | $684.00 |
|
| (aberration neutral), foldable, square-edged, | 6.5 |
|
|
| single-piece IOL for capsular bag fixation | Optic size: 6.0mm, Overall length: 11.0mm |
|
EG015 | Emagin Pty Ltd ARTIS T PL |
Preloaded Toric Intraocular lens |
+18 to +25D / C +1.50D |
$684.00 |
at, pl, t2
Carl Zeiss Pty Ltd
CZ032 AT TORBI 709MP (high cyl) Bitoric, preloaded, micro incision, aspheric
(aberration neutral), foldable, square-edged, single-piece IOL for capsular bag fixation
Diopter range: Sph -10.0 to 32.0, Cyl +7.0 to 12.0, Optic size: 6.0mm. Overall Length 11.0mm
$955.00
Carl Zeiss Pty Ltd
CZ020 AT TORBI 709M STANDARD RANGE BITORIC - ZEISS
Micro Incision Aspheric (abberation neutral) IOL: Foldable, square-edged, single piece IOL for capsular bag fixation
6mm optic, 11mm overall diameter. Diopter range: Sph -10.0 to +32.0D, Cyl +1.0 to 6.5D (all 0.5D steps)
$666.00
Carl Zeiss Pty Ltd
CZ027 AT TORBI 709M HIGH CYLINDER BITORIC - ZEISS Micro
Incision Aspheric (aberration neutral) IOL: Foldable square edged, single piece IOL for capsular bag fixation
6mm optic, 11mm overall diameter. Diopter range: Sph -10.0 to +32.0D, +7.0 to 12.0D (all 0.5D steps)
$937.00
1.2.2.2 - No edge modification
XE002 Staar foldable silicone intraocular
lens: Model AQ 5010V
Polyimide haptics 6.3mm optic - low diopters 14.0mm length $253.00
Billing Code Product Name Description Size
1.2.2.3 - Edge modification
Alcon Laboratories (Aust.) Pty Ltd
Benefit
Benefit
Condition
AL004 Acrysof Multipiece Models MA50BM, MA60AC
Foldable Acrylic Multi-piece Lens -5 D to +30 D $290.00
AL011 Acrysof Model SA60AT Foldable Acrylic Single-piece Lens, asymmetric
optic/consistent edge
Range of Powers: +6 to +40 D $290.00
AO002 Sensar AR40 Monofocal Acrylic
IOL, Sensar OptiEdge AR40e Foldable Acrylic IOL
Carl Zeiss Pty Ltd
Soft Acrylic, Foldable, UV Absorbing, Posterior Range available from -10D to +30D. 6 mm
Optic Diameter x 13mm in overall length.
$290.00
CZ029 CT 53N Foldable, 3-piece, monofocal, square-edged, hydrophilic acrylic (with hydrophobic surface properties) intraocular lens for capsular bag or sulcus fixation.
CZ041 EC-3 Foldable, 3-piece, monofocal, square-edged, hydrophobic acrylic intraocular lens.
DE398 Oculentis LENTIS L-302-1 Foldable one-piece monofocal C loop acrylic
IOL.
Ellex Australia Pty Ltd
Diopter range: 0.0 to 40.0, Optic size: 6.0mm, Overall length: 13.0mm
Diopter size: 4.0 to 34.0 DS. Optic size: 6mm. Overall length: 13mm
Optic Size 6.0mm, Overall Length 12.00mm.
+-0.0D to +35.0D (1.0D steps) and +15.5D to
+26.5D (0.5D steps).
$290.00
$290.00
$290.00
XE003 Staar foldable silicone IOLs: Models AQ2010V, AQ2017V and AO2003V
Plate haptics 6.0mm; Polymide haptics 5.5 or 6.3mm optic;
10.8mm 0 13.5mm length $290.00
KG001 Rayner C-Flex Hydrophilic HEMA-MMA copolymer, foldable with injector
KG002 Superflex Hydrophilic HEMA-MMA copolymer, foldable with injector
5.75mm dia optic, 12.00mm dia overall $290.00 6.25mm dia optic, 12.5mm dia overall $290.00
Billing Code Product Name Description Size
Lumos Medical Pty Ltd
Benefit
Benefit
Condition
LN007 Tecsoft Flex Single piece square edged foldable intraocular lens for implantation into the capsular bag.
Safelens Pty LtdTJ001 Tecsoft Flex Single piece square edged foldable intraocular lens for implantation into the capsular bag.
at
Diopter power range: +5.0 D to +32.0D (0.5 D increments from +10.0 D to +30.0 D, 1.0 D increments outside this range).
For powers +5.0 D to +17.5D - Optic size: 6.0mm. Overall Length 13.5mm.
For powers +18.0 D to +25.5D - Optic size: 5.9mm. Overall Length 13.0mm.
For powers +26.0 D to +32.0 D - Optic size: 5.8mm. Overall Length 12.5mm.
Diopter power range: +5.0 D to +32.0D (0.5 D increments from +10.0 D to +30.0 D, 1.0 D increments outside this range).
For powers +5.0 D to +17.5D - Optic size: 6.0mm. Overall Length 13.5mm.
For powers +18.0 D to +25.5D - Optic size: 5.9mm. Overall Length 13.0mm.
For powers +26.0 D to +32.0 D - Optic size: 5.8mm. Overall Length 12.5mm.
$290.00
$290.00
AL038 Acrysof Aspheric UV-absorbing IOL Foldable Acrylic Single-piece Lens with UV
Absorbing and Aspheric Correction
+ 6.0 D to +30.0 D $328.00
AO014 TECNIS® Intraocular Lens (Z9002
& ZA9003)
Foldable Intraocular Lenses - Ultraviolet light absorbing posterior chamber intraocular lenses, Silicone/Acrylic
5-10 dioptre in 1.0 dioptre increments; 10.5 -
30 dioptre in 0.5 increments
$328.00
AO024 Tecnis® One Piece (ZCB00) One piece intraocular lens with edge
modification and 360 degree square edge
Bausch & Lomb (Australia) Pty Ltd
+5 to +34 diopter powers in 0.5d increments. Overall diameter 13mm, Optic size 6mm
$328.00
BL022 SofPort Advanced Optic (AO) Posterior chamber, foldable silicone IOL with
anterior optic-haptic square edge, posterior optic-haptic square edge, 360-degree optic square edge and asperic optic for aberration control
0 D to 30.0 D $328.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
BL023 | Akreos Advanced Optic | Posterior chamber, foldable acrylic IOL, with | 0 D to 30.0 D | $328.00 |
|
|
|
| anterior optic-haptic square edge, posterior |
|
|
|
|
|
| optic-haptic square edge, 360 degree optic |
|
|
|
|
|
| square edge and aspheric optic for aberration |
|
|
|
|
|
| control |
|
|
|
|
BL030 | enVista | The enVista, Model MX60, is an ultra-violet- | Overall diameter 12.5mm, optic body diameter | $328.00 |
|
|
|
| absorbing, posterior chamber, hydrophobic | 6.0mm in dioptric powers ranging from +0.0 |
|
|
|
|
| acrylic one-piece foldable intraocular lens | to +34D |
|
|
|
|
| (IOL) Has an aspheric lens optic, square | 0.0D to 10.0D in 1 Diopter increments |
|
|
|
|
| posterior edge, modified C haptics and | 11.0D to 30.0D in 0.5 Diopter increments |
|
|
|
|
| available in dioptric powers ranging from +0.0 | 31.0D to 34.0D in 1 Diopter increments |
|
|
|
|
| to +34.0D. |
|
|
|
|
Carl Zeiss Pty LtdCZ030 CT ASPHINA 404 Small incision, foldable, single piece, monofocal, aspheric (aberration neutral), square-edged, hydrophilic acrylic (with
hydrophobic surface properties) intraocular lens
for capsular bag fixation. (Monofocal lens for powers outside standard 409MP MICS range).
Diopter range: -10.0 to 42.0, Optic size: 6.0mm, Overall length: 11.0mm
$328.00
DE484 Oculentis LENTIS L-402 Foldable three piece monofocal acrylic IOL Optic Size 6.0mm, Overall Length 13.00mm.
+-0.0D to +35.0D (1.0D) + 15.5D to +26.5D
(0.5D). Minus range on demand.
$328.00
DE490 Oculentis LENTIS L-312 Foldable one-piece monofocal acrylic C Loop
IOL
DE492 Oculentis LENTIS L-313 Foldable one-piece monofocal acrylic plate
haptic IOL
Insight Surgical Pty Ltd
Opric size 6.0mm. Overall Length 12.00mm. Central Thickness 1.02mm (+22.0D). Available Diopters: -10.0D to 35.0D (1.0D steps). +10.5D to 29.5D (0.5D steps).
Optic Size 6.0mm, Overall length 11.0mm. Available Diopters: +-10.0D to 36.0D (1.0D steps) +10.5D to 29.5D (0.5D steps)
$328.00
$328.00
IS010 BiFlex 677AB Hydrophilic Acrylic
Foldable Aspheric Monofocal Lens (without Blue light Filter)
Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized
Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm
Powers available:
-10.0 - +9.0 D ±0.25 D increment: 1.0 D
+10.0 - +25.0 D ±0.25 D increment: 0.5 D
+25.5 - +30.0 D ±0.5 D increment: 0.5 D
+31.0- +45.0 D ±0. D increment: 1.0 D
$328.00
Billing Code Product Name Description Size
IQ Medical
Benefit
Benefit
Condition
IQ004 Softec Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation and aberration technology
IQ013 PreciSAL 302AC Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and UV light filter.
Available in dioptric powers from -5.0 to
+36.0, 1D steps: -5.0 to +10.0 and +31.0 to
+36.0; 0.5D steps: +10.5 to +18.0 and +25.0
to +29.5; 0.25D steps: +18.0 to +25.0
Available in dioptric powers from 0.0 to
+30.0. 1D steps: 0.0 to +10.0; 0.5D steps:
+10.5 to + 17.5 and +28.5 to +30.0; 0.25D
steps: +18.0 to +28.0
$328.00
$328.00
KG012 Rayner "C-Flex" and Superflex"
Aspheric IOL
Lumos Medical Pty Ltd
Aspheric Intra Ocular Lenses with Amon-Apple enhanced 360 Degree square edge, Anti- vaulting Haptics
C-Flex -970C + 22.5D to +34D Superflex- 920H - 10D to +22D
$328.00
LN003 ALSAFIT Single piece aspheric foldable intraocular lens for implantation into the capsular bag.
Spectrum Surgical
Diopter power range: 0.0 D to 32.00 D (0.50 D increments). Optic size: 6mm. Overall length: 11.0mm.
$328.00
SO074 HumanOptics Aspira Posterior chamber IOL, foldable, UV absorber,
Aspheric, aberration technology, 360° LEC barrier, HD optic
-6.0 to +40.0 D $328.00
AMO Australia Pty Ltd
AO034 TECNIS® iTec 1-Piece Pre-Loaded
IOL
1-piece IOL Posterior Chamber Intraocular lens, incorporates a proprietary wavefront- designed aspheric optic with a squared posterior optic edge designed to provide a 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects. Supplied pre-loaded in a screw style disposable injector.
+5.0 to +34.0 diopter powers in 0.5 diopter increments. Overall diameter 13mm, Optic size 6mm
$337.00
DE485 Oculentis LENTIS L-402 Pre-loaded Pre-loaded foldable three piece monofocal
acrylic IOL.
Optic Size 6.0mm, Overall Length 13.00mm.
+-0.0D to +35.0D (1.0D) +15.5D to +26.5D
(0.5D). Minus range on demand.
$337.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
DE491 | Oculentis LENTIS L-312 Pre-loaded | Pre-loaded foldable one-piece monofocal | Optic size 6.0mm. Overall length 12.00mm. | $337.00 |
|
|
|
| acrylic C Loop IOL | Central thickness 1.02mm (+22.0D). Available |
|
|
|
|
|
| Diopters: -10.0D to 35.0D (1.0D steps). |
|
|
|
|
|
| +10.5D to 29.5D ( 0.5D steps). |
|
|
|
DE493 | Oculentis LENTIS L-313 Pre-loaded | Pre-loaded foldable one-piece monofocal | Optic Size 6.0mm, Overall Length 11.00mm. | $337.00 |
|
|
|
| acrylic plate haptic IOL | Available Diopters: +-10.0D to 35.0D (1.0D |
|
|
|
|
|
| steps). +10.5D to 29.5 D (0.5D steps). |
|
|
|
Ellex Australia Pty LtdXE004 Preloaded Aspheric Intraocular Lens Silicone intraocular lens 6.0mm $337.00
Insight Surgical Pty LtdIS031 | Medicontur Preloaded Monofocal Hydrophilic 677P without Blue light Filter for Medjet PL-MA 2.2 single use injection system | Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized | Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm Powers available: -10.0 - +9.0 D ±0.25 Dincrement: 1.0 D +10.0 - +25.0 D ±0.25 Dincrement: 0.5 D +25.5 - +30.0 D ±0.5 Dincrement: 0.5 D +31.0- +45.0 D ±0.5 Dincrement: 1.0 D | $337.00 |
IS036 | BiFlex 877PA Preloaded Hydrophobic Acrylic Foldable Aspheric Monofocal Lens without Blue Light Filter | Posterior Chamber IOL, special 360° sharp edge, Aspheric Aberration Balanced | Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm Powers available: -0.0-+9.0 D±0.25 Dincrement: 1.0 D +10.0-+25.0 D±0.25 Dincrement: 0.5 D +25.5-+30.0 D±0.5 Dincrement: 0.5 D +31.0-+35.0 D±0.5 Dincrement: 1.0 D | $337.00 |
IQ Medical
IQ014 PreciSAL P302AC Preloaded Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and UV light filter.
Available in dioptric powers from 0.0 to
+30.0. 1D steps: 0.0 to +10.0; 0.5D steps:
+10.5 to + 17.5 and +28.5 to +30.0; 0.25D
steps: +18.0 to +28.0
$337.00
SO075 HumanOptics Aspira Preloaded Preloaded posterior chamber IOL, foldable, UV
absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic
+10.0 to +40.0 D $337.00
Billing Code Product Name Description Size
at, pl, t1
AMO Australia Pty Ltd
Benefit
Benefit
Condition
AO041 Tecnis Toric 1-Piece IOL 1-piece IOL Posterior chamber Intraocular lens
, incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects.
Bausch & Lomb (Australia) Pty Ltd
+5.0 to +34.0 diopter powers in 0.5 diopter
increments. Cylinder power: 1.00 diopter, 1.50
diopter, 2.25 diopter, 3.00 diopter, 3.75
diopter, 4.00 diopter, 4.50 diopter, 5.25 diopter and 6.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm.
$684.00
BL032 | enVista Toric | The enVista toric (Model MX60T) is a one- piece glistening-free hydrophobic foldable IOL. The enVista Toric, model MX60T IOL has a Toric aspheric lens optic, a square posterior edge and modified C haptics, an overall diameter of 12.5mm and an optic body of 6.0mm. It is available in multiple spherical and cylindrical powers. | Overall diameter is 12.5mm for the entire lens power range, with spherical equivalent powers from +6.0 to +30.0 Diopters in 0.5 Diopter steps and cylinder powers from +1D to 6D Diopters (at the IOL plane). | $684.00 |
| Insight Surgical Pty Ltd |
|
|
|
IS026 | Medicontur BiFlex 677PT Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter, Preloaded | Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized – Toric | Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm Powers available: -10.0 - +30.0 D ±0.25 D increment: 0.5 D +31.0 - +35.0 D ±0.5 D increment: 1.0 D Cylinders available: +1.5 D - +7.0 D increment: 0.75 D | $684.00 |
| IQ Medical |
|
|
|
IQ017 | PreciSAL Toric T302AC | Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, toric correction on anterior surface with cylinder marks to indicate flat meridian plus the cylinder axis to allow alignment for astigmatic correction, and UV filter. | Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; Cylinder powers from 1.0D to 6.0D | $684.00 |
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
IQ018 | PreciSAL Toric PT302AC | Pre-loaded acrylic single piece, foldable | Available in spherical dioptric powers from | $684.00 |
|
|
|
| intraocular lens with anterior and posterior | 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D |
|
|
|
|
| optic-haptic square edge, 360 degree optic | steps: +10.5 to +17.5 and +28.5 to +30.0; |
|
|
|
|
| square edge design, precision power | 0.25D steps: +18.0 to +28.0; Cylinder powers |
|
|
|
|
| calculation, aberration technology, toric | from 1.0D to 6.0D |
|
|
|
|
| correction on anterior surface with cylinder |
|
|
|
|
|
| marks to indicate flat meridian plus the cylinder |
|
|
|
|
|
| axis to allow alignment for astigmatic |
|
|
|
|
|
| correction, and UV filter. |
|
|
|
|
at, pl, t1, vblfDesigns for Vision Pty Ltd
DV253 HOYA AF-1 351 Toric T3/T4/T5/T6/T7/T8/T9
at, pl, vblf
Preloaded injector system, correct corneal astigmatism micro-incision, ashperic, blue- blocker, single piece hydophobic.
IOL Power: + 10.0 to 30.0 (0.5 steps), IOL Cylinder power: 1.50D (351T3), 2.25D (351T4), 3.00D (351T5), 3.75D (351T6), 4.50D (351T7), 5.25D (351T8), 6.00D (351T9)
$720.00
AL024 AcrySert model SN60WS Foldable Acrylic Single-piece Lens with Blue
light protection and aspheric correction, in cartridge.
AL031 AcrySert C Model SN6CWS Posterior chamber, UV absorbing, foldable,
acrylic, single piece lens with blue light protection and aspheric correction, in cartridge
+6 to +30 D $364.00
+6.0 to +30.0 D $364.00
AL039 AcrySof IQ Aspheric IOL with
UltraSert pre-loaded delivery system
Pre-loaded foladable Acrylic Single-piece Lens with Blue light protection and Aspheric correction (SN60WF)
+6.0D to +30.0D $364.00
Bausch & Lomb (Australia) Pty LtdBL035 MICRO+ AY 123 Preloaded, posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece lens with blue light protection.
BL037 MicroPure 123 Preloaded, posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece hydrophobic glistening-free Intra Ocular Lens.
An overall diameter of 10.75mm and optic diamter of 6.15mm. From 0 to +35 diopters with 0.5 diopter increments.
Overall diameter of 10D to 24.5D: 11.00mm 25D to 30D: 10.75mm
Optic diameter of 10D to 24.5D: 6.00mm 25D to 30 D: 5.75mm
Power from 10D to 30D with 0.5 diopter increments.
$364.00
$364.00
Billing Code Product Name Description Size
Designs for Vision Pty Ltd
Benefit
Benefit
Condition
DV250 Hoya-PS AF-1 (UY) PY-60AD Preloaded in cartridge, Aspheric, Blue blocker,
Foldable, Single-Piece, Hydrophobic Acrylic
DV252 HOYA iSert® 251 Preloaded injector system, Micro-incision, Aspheric, Blue-Blocker, Single Piece, Hydrophobic
+6.0D to +30.0D (0.5D steps) $364.00
+6.0D to 30.0D (5 steps) $364.00
DV262 Hoya 751 Intra Ocular Lens Intra Ocular Lens Power +10 dioptres - +26 dioptres $364.00
DV264 Hoya Vivinex iSert Preloaded IOL
(Model XY1)
Intra Ocular Lens Power +6 dioptres - +30 dioptres $364.00
DE487 Oculentis LENTIS LS-312Y Pre-
loaded
DE499 Oculentis LENTIS LS-313Y Pre-
loaded
Insight Surgical Pty LtdIS034 BiFlex Preloaded 877PAY Hydrophobic Acrylic Foldable Aspheric Monofocal Lens with Blue light Filter
IQ Medical
Pre-loaded Foldable one-piece monofocal C Loop Acrylic IOL. Violet Light filter.
Pre-loaded foldable one-piece monofocal acrylic plate haptic IOL. Violet Light Filter.
Posterior Chamber IOL, special 360° sharp edge, Aspheric - Aberration Balanced
Optic Size 6.0mm. Overall Length 12.0mm. Available Diopters +-0.0D to 35.0D (1.0D steps) +15.5D to 26.5D (0.5D steps).
Optic Size 6.0mm, Overall Length 11.00mm. Available Diopters: +-0.0D to 35.0D (1.0D steps). +15.5D to 26.5D (0.5 steps).
Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm Powers
available: -0.0 - +9.0 D ±0.25 D increment:
1.0 D
+10.0 -+25.0 D ±0.25 D increment: 0.5 D
+25.5- +30.0 D ±0.5 D increment: 0.5 D
+31.0 - +35.0 D ±0.5 D increment: 1
$364.00
$364.00
$364.00
IQ016 PreciSAL P302A Preloaded Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and blue light filter.
Available in dioptric powers from 0.0 to
+30.0. 1D steps: 0.0 to +10.0; 0.5D steps:
+10.5 to +17.5 and +28.5 to +30.0; 0.25D
steps: +18.0 to +28.0
$364.00
VI001 Nidek SZ-1 Pre-Loaded IOL Injector System
Pre-Loaded Intra Ocular Lens Implantation system
Power +11 dioptres to 30+ dioptres $364.00
SO067 HumanOptics Aspira Y Preloaded Preloaded posterior chamber IOL, foldable, UV
absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter
+10.0 to +30.0 D $364.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
SO071 | Mediphacos Easyflex | Preloaded posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, double square edge, Blue light filter | +5.0 to +30.0 D | $364.00 |
|
|
at, t1AMO Australia Pty Ltd
AO042 Tecnis Toric 1-Piece Pre-Loaded IOL 1-piece IOL Posterior chamber Intraocular lens
, incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects.
Device Technologies Australia Pty LtdDE390 Oculentis LENTIS Tplus LU-313T Patient Specific: Foldable one-piece monofocal
toric acrylic IOL
+5.0 to +34.0 diopter powers in 0.5 diopter
increments. Cylinder power: 1.00 diopter, 1.50
diopter, 2.25 diopter, 3.00 diopter, 3.75
diopter, 4.00 diopter, 4.50 diopter, 5.25 diopter and 6.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm.
Optic Size 6.0mm, overall length 11.0mm. Sph +/-10.0D to +35.0D (in 0.01D
increments) Cyl +0.25 to +6.99D cyl (in
0.01D increments)
$666.00
$666.00
DE397 Oculentis LENTIS Tplus LS-313 T1- T6
Insight Surgical Pty Ltd
Foldable one-piece monofocal toric acrylic IOL. Optic Size 6.0mm, Overall Length 11.00mm.
Available diopters: +10.0D to +30.0D (0.5D). Cyl: (T1 +1.5D) (T2 +2.25D) (T3 +3.0D) (T4
+3.75D) (T5 +4.5D) (T6 +5.25D)
$666.00
IS024 Medicontur BiFlex 677TA Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter
Spectrum Surgical
Posterior chamber IOL, 360° Special Square Edge,
Aspheric – Coma optimized – Toric
Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm
Powers available:
-10.0 - +30.0 D ±0.25 D increment: 0.5 D
+31.0 - +35.0 D ±0.5 D increment: 1.0 D
Cylinders available:
+1.5 D - +7.0 D increment: 0.75 D
$666.00
SO060 HumanOptics Torica Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic
Sphere +10D to +30D, Cylinder 1D to 6D $666.00
Device Technologies Australia Pty Ltd
DE489 Oculentis LENTIS LU-313-TY Pre-
loaded
Patient Specific: Pre-loaded foldable one-piece monofocal toric acrylic IOL. Violet Light Filter
Optic Size: 6.0mm, Overall Length 11.00mm. Sph -10.0D to +35.0D (in 0.01D incrments). Cyl +0.25D to +6.99D cyl (in 0.01D increments)
$720.00
Billing Code Product Name Description Size
Insight Surgical Pty Ltd
Benefit
Benefit
Condition
IS028 Medicontur BiFlex 677PTY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter
IQ Medical
Posterior chamber IOL, 360° Special Square Edge,
Aspheric – Coma optimized – Toric
Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm
Powers available:
-10.0 - +30.0 D ±0.25 D increment: 0.5 D
+31.0 - +35.0 D ±0.5 D increment: 1.0 D
Cylinders available:
+1.5 D - +7.0 D increment: 0.75 D
$720.00
IQ020 PreciSAL Toric PT302A Pre-loaded acrylic single piece, foldable
intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, toric correction on anterior surface with cylinder marks to indicate flat meridian plus the cylinder axis to allow alignment for astigmatic correction, and UV and blue light filters.
Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D
steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; Cylinder powers from 1.0D to 6.0D
$720.00
Alcon Laboratories (Aust.) Pty Ltd
AL032 AcrySof IQ Toric IOL Posterior chamber, UV absorbing, foldable,
acrylic, toric, single piece lens with blue light protection and aspheric correction
DE488 Oculentis LENTIS LU-313 TY Patient Specific: Foldable one-piece monofocal
toric acrylic IOL. Violet Light Filter
Insight Surgical Pty Ltd
+6 to +30 D spherical, +31.0 to +34.0 (1.0 D increments); 1.00 to 6.00 D cylinder.
Optic size: 6.0mm, Overall Length 11.00mm. Sph +/_ 0.0D to +35.0D In 0.01D increments) Cyl +0.25D to +6.99D cyl (in 0.01D increments).
$702.00
$702.00
IS022 Medicontur BiFlex 677TAY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter
Posterior chamber IOL, 360° Special Square Edge,
Aspheric – Coma optimized – Toric
Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm
Powers available:
-10.0 - +30.0 D ±0.25 D increment: 0.5 D
+31.0 - +35.0 D ±0.5 D increment: 1.0 D
Cylinders available:
+1.5 D - +7.0 D increment: 0.75 D
$702.00
Billing Code Product Name Description Size
IQ Medical
Benefit
Benefit
Condition
IQ019 PreciSAL Toric T302A Acrylic single piece, foldable intraocular lens
with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, toric correction on anterior surface with cylinder marks to indicate flat meridian plus the cylinder axis to allow alignment for astigmatic correction, and UV and blue light filters.
Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D
steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; Cylinder powers from 1.0D to 6.0D
$702.00
LN005 ALSAFIT TORIC VF Single piece toric aspheric foldable intraocular
lens for implantation into the capsular bag. Violet filter.
Spectrum Surgical
Diopter power range: Sphere: From 0.0 D to
+32.00 D (0.50 D increments). Cylinder: From
+0.50 D to +6.00 D (0.50 D increments). Optic size: 6mm. Overall length: 11.0mm.
$702.00
SO057 HumanOptics Torica Y Toric posterior chamber IOL, foldable, UV
absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter
SO072 Mediphacos Miniflex Toric Toric posterior chamber IOL, foldable, UV
absorber, Aspheric, aberration technology, double square edge, Blue light filter
Sphere +10D to +30D, Cylinder 1D to 6D $702.00
Sphere +5.0 to +30.0 D, Cylinder < 7D $702.00
AMO Australia Pty Ltd
AO040 TECNIS® Toric 1-Piece IOL 1-piece IOL Posterior chamber Intraocular lens,
incorporates a proprietary wavefront designed toric aspheric optic with a squared posterior optic edge designed to provide a 360 degree barrier. The edge of the optic has a frosted design to reduce potential edge glare effects.
DE391 Oculentis LENTIS Tplus LU-313T Patient Specific: Foldable one-piece monofocal
toric acrylic IOL
+5.0 to +34.0 diopter powers in 0.5 diopter increments. Cylinder power: 7.00 diopter,
8.00 diopter (as measured at the IOL plane). Overall diameter 13mm, Optic size 6mm.
Optic Size: 6.0mm, overall length 11.00mm. Sph +/-10.0D to +35.0D (in 0.01D
increments) Cyl +6.99D to +12.0D cyl (in 0.01D increments)
$938.00
$938.00
Billing Code Product Name Description Size
Insight Surgical Pty Ltd
Benefit
Benefit
Condition
IS025 Medicontur BiFlex 677TA Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter
Spectrum Surgical
Posterior chamber IOL, 360° Special Square Edge,
Aspheric – Coma optimized – Toric
Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm
Powers available:
-10.0 - +30.0 D ±0.25 D increment: 0.5 D
+31.0 - +35.0 D ±0.5 D increment: 1.0 D
Cylinders available:
+7.0 D - +9.0 D increment: 0.75 D
+9.0 D - +10.0 D increment: 1.0 D
$938.00
SO059 HumanOptics Torica Toric posterior chamber IOL, foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic
Sphere +10D to +30D, Cylinder 7D to 12D $938.00
Insight Surgical Pty Ltd
IS027 Medicontur BiFlex 677PT Hydrophilic Acrylic Foldable Toric Lens without Blue light Filter,
Preloaded
at, t2, vblf
Posterior chamber IOL, 360° Special Square Edge,
Aspheric – Coma optimized – Toric
Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm
Powers available:
-10.0 - +30.0 D ±0.25 D increment: 0.5 D
+31.0 - +35.0 D ±0.5 D increment: 1.0 D
Cylinders available:
+7.0 D - +9.0 D increment: 0.75 D
+9.0 D - +10.0 D increment: 1.0 D
$947.00
DE393 Oculentis LENTIS T plus LU-313-TY Patient Specific: Foldable one-piece monofocal
toric acrylic IOL. Violet Light Filter.
Insight Surgical Pty Ltd
Optic Size: 6.0mm, overall length 11.00mm. - 10.0D to +35.0D (0.01D increments) Available diopters: Cyl +7.00D to +12.0D inclusive in 0.01D increments.
$976.00
IS023 Medicontur BiFlex 677TAY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter
Posterior chamber IOL, 360° Special Square Edge,
Aspheric – Coma optimized – Toric
Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm
Powers available:
-10.0 - +30.0 D ±0.25 D increment: 0.5 D
+31.0 - +35.0 D ±0.5 D increment: 1.0 D
Cylinders available:
+7.0 D - +9.0 D increment: 0.75 D
+9.0 D - +10.0 D increment: 1.0 D
$976.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
IS030 Medicontur BiFlex 677TBY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter
Spectrum Surgical
Posterior chamber IOL, 360° Special Square Edge,
Aspheric – Coma optimized – Toric
Optic diameter: 6.0 mm ±0.10 mm,
Overall diameter: 13.0 mm ±0.20 mm Powers available:
+5.0 - +9.0 D ±0.25 D increment: 1.0 D
+10.0 - +25.0 D ±0.25 D increment: 0.5 D
+25.5 - +30.0 D ±0.5 D increment: 0.5 D
Cylinders available:
+10.0 D - +24.0 D ±0.5 D increment: 1.0 D
$976.00
SO058 HumanOptics Torica Y Toric posterior chamber IOL, foldable, UV
absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter
Sphere +10D to +30D, Cylinder 7D to 12D $976.00
Insight Surgical Pty Ltd
IS029 Medicontur BiFlex 677PTY Hydrophilic Acrylic Foldable Toric Lens with Blue light Filter
at, vblf
Posterior chamber IOL, 360° Special Square Edge,
Aspheric – Coma optimized – Toric
Optic diameter: 6.0 mm ±0.05 mm, Overall diameter: 13.0 mm ±0.10 mm
Powers available:
-10.0 - +30.0 D ±0.25 D increment: 0.5 D
+31.0 - +35.0 D ±0.5 D increment: 1.0 D
Cylinders available:
+7.0 D - +9.0 D increment: 0.75 D
+9.0 D - +10.0 D increment: 1.0 D
$985.00
AL021 Alcon AcrySof SN60WF Foldable Acrylic Single-piece Lens with Blue
Light Protection and Aspheric Correction
+ 6.0 D to +30.0 D $346.00
DV247 HOYA AF-1 iMics1 NY-60 Mini Incision, Aspheric, Blue-blocker, Single-
piece, Hydrophobic
Device Technologies Australia Pty Ltd
+6.0D to 30.0D (0.5 steps) $346.00
DE486 | Oculentis LENTIS LS-312Y | Foldable one-piece monofocal C Loop Acrylic IOL. Violet Light Filter. | Optic Size 6.0mm, Overall Length 12.0mm. Available Diopters: +-0.0D to 35.0D (1.0D steps) +15.5D to 26.5D (0.5D steps). | $346.00 |
DE498 | Oculentis LENTIS LS-313Y | Foldable one-piece monofocal acrylic plate haptic IOL. Violet Light Filter. | Optic Size 6.0mm, Overall Length 11.00mm. Available Diopters: +-0.0D to 35.0D (1.0D steps). +15.5D to 26.5D (0.5 steps). | $346.00 |
Billing Code Product Name Description Size
IQ Medical
Benefit
Benefit
Condition
IQ009 Softec HDY Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and blue light filter
IQ015 PreciSAL 302A Acrylic, single piece, foldable intraocular lens with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology and blue light filter.
Available in dioptric powers from -5.0 to + 36.0, 1D steps: -5.0 to +10.0 and +31.0 to
+36.0; 0.5D steps: +10.5 to +18.0 and +25.0
to 29.5; 0.25D steps: + 18.0 to +25.0
Available in dioptric powers from 0.0 to
+30.0. 1D steps: 0.0 to +10.0; 0.5D steps:
+10.5 to +17.5 and +28.5 to +30.0; 0.25D
steps: +18.0 to +28.0
$346.00
$346.00
SO055 HumanOptics Aspira Y Posterior chamber IOL, foldable, UV absorber,
Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter
SO073 Mediphacos Miniflex/Mediflex Posterior chamber IOL, foldable, UV absorber,
Aspheric, aberration technology, double square edge, Blue light filter
-6.0 to +40.0 D $346.00
+5.0 to +30.0 D $346.00
Kevin Grundy (IBD) Pty Ltd
KG003 Rayner Standard Toric C-Flex Hydrophilic HEMA-MMA copolymer, foldable
with injector
5.00mm dia optic, 12.00mm dia overall, cyls 2.0D to 6.0D in 2D increments
$628.00
Designs for Vision Pty Ltd
DV251 HOYA AF - 1 311 Toric T3/T4/T5 Correct Corneal Astigmatism, Micro-
incision,Aspheric, Blue-Blocker, Single Piece, Hydrophobic
lOL Power: 6.0D to 30.0D (0.5 steps )lOL Cylinder Power: 1.50D (311T3), 2.25D (311T4), 3.00D (311T5)
$702.00
Alcon Laboratories (Aust.) Pty Ltd
AL023 Alcon AcrySof Toric PC IOL Models Posterior chamber, UV absorbing, foldable,
acrylic, toric, single piece lens with blue light protection
+6 to +34 D spherical; 1.50 to 6.00 D cylinder $666.00
Kevin Grundy (IBD) Pty Ltd
KG004 Rayner Premium Toric C-Flex HEMA-MMA copolymer, foldable with injector 5.75mm dia optic, 12.00mm dia overall, cyls
1.5D to 11.0D in 0.5D increments
$900.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
KG013 | Rayner Super Premium Toric I.O.L. | Acrylic foldable toric single piece I.O.L | -10.0D to 0.00D Sphere: 1D to 11.00D | $900.00 |
|
|
| Cylinder in 0.25 |
|
|
| ||
steps |
|
|
| |||
+31.00D to +35.00 Spit: 1D to 11.00D |
|
|
| |||
Cylinder in 0.25steps |
|
|
| |||
vblfAlcon Laboratories (Aust.) Pty Ltd
AL016 Alcon Acrysof Natural Model
SN60AT
AL025 AcrySof Multipiece Models
MN60MA, MN60AC
Foldable Acrylic Single-piece Lens, asymmetric optic/consistent edge, with blue light protection
Foldable Acrylic multi-piece Lens with Blue light Protection
+6 to +40D $328.00
- 5 D to + 30 D $328.00
ER281 IC-8, Hydrophobic Small Aperture
Intraocular Lens
at
A hydrophobic posterior chamber intraocular lens (IOL), embedded with a central circular mask, which operates under the principle of small aperture optics to reduce near vision blur and provide seamless extended range vision from distance to near.
The overall diameter is 12.5 millimetres with a 6 millimetre diameter aspheric optic.
$702.00
AO026 TECNIS® Multifocal Intraocular Lens (ZMA00)
AO027 TECNIS® Multifocal 1-Piece Lens,
Models ZMB00, ZKB00, ZLB00
AO037 TECNIS® Symfony Extended Range of Vision (ZXR00)
Posterior chamber lens with UV light- absorbing, foldable acrylic, 3-piece with a diffractive posterior optic and a modified anterior surface technology with edge modification and 360 degree square edge.
A multifocal posterior chamber lens with UV- blocking, foldable acrylic, 1-piece with a diffractive posterior optic and a modified anterior surface technology with edge modification and a 360 degree square edge.
Extended Range of Vision Posterior Chamber IOL
+5 to +34 diopter powers in 0.5d increments. Overall diameter 13mm, Optic size 6mm
6.0mm Optic Diameter x 13.0mm in overall length. +5.0 Diopter to +34.0 Diopter in 0.5 Diopter increments. ZMB00 +4.00 Diopter add, ZKB00 +2.75 add,
+5.0 to 34.0 diopter powers in 0.5 diopter increments Overall diamter 13mm, Optic size 6mm
$740.00
$740.00
$740.00
Billing Code Product Name Description Size
Carl Zeiss Pty Ltd
Benefit
Benefit
Condition
CZ015 AT LISA 809M ZEISS micro incision, aspheric multifocal IOL. Diffractive bifocal anterior surface with asymmetric light distribution (65% distance / 35% near), 3.75D addition for near focus.
Device Technologies Australia Pty Ltd
6mm optic, 11mm diameter. Diopter range 0.0D to +32.0D (0.5D steps)
$740.00
DE496 | Oculentis LENTIS Mplus LS-313 MF | Foldable one-piece multifocal plate haptic acrylic IOL | Overall Length 11.0mm and Optic Size 6.0mm. Available diopters +-10.0D to +36.0D (0.05D steps) | $740.00 |
| IQ Medical |
|
|
|
IQ023 | PreciSAL Multifocal M302AC | Acrylic single piece, foldable intraocular lens with anterior and posterior optic-haptic edge, 360 degree optic square edge design, precision power calculation, abreration technology, pupil independent diffractive anterior surface with a near sigh correction addition of up to +3.5D, and UV Filter. | Available in spherical dioptric powers from 0.0D to +30.0D. 1D steps: 0.0D to+10.0D; 0.5D steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers. | $740.00 |
| Kevin Grundy (IBD) Pty Ltd |
|
|
|
KG009 | Rayner "M-Flex" Mulitfocal Foldable IOL | Acrylic, Foldable, Single piece multi-zoned refractive aspheric multifocal with Amon-Apple 360 Degree Square edge, Anti Vaulting Haptics | 6.5mm Optic-Overall diameter 12.5mm: +3D or + 4D Addition: +14D to +25D in 1.0D increments: +8.5D to +23.5D in 0.5D increments | $740.00 |
Spectrum SurgicalSO063 HumanOptics Diffractiva Multifocal posterior chamber IOL, foldable,
UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic
Sphere: +10D to +30D, Near addition +3.5D $740.00
AMO Australia Pty Ltd
AO036 TECNIS® Multifocal 1-Piece IOL
with iTec Preloaded delivery system
Carl Zeiss Pty Ltd
Preloaded 1-Piece Multifocal posterior chamger IOL
+5.0 to 34.0 diopter powers in 0.5 diopter increments Overall diamter 13mm, Optic size 6mm
$758.00
CZ033 AT LISA 809MP Preloaded, micro incision, aspherical bifocal, square edged, single-piece IOL for capsular bag fixation. The anterior aspheric bifocal surface has an asymmetric light distribution 65/35 for distance/near vision, and 3.75D add for the near focus.
Diopter range: 0.0 to 32.0
Optic size: 6.0mm. Overall length: 11.0mm
$758.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
CZ034 AT LISA tri 839MP Trifocal (aspheric) micro incision, single-piece IOL for capsular bag fixation, implantable with preloaded injector system. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision.
Diopter range: 0.0 to +32.0D (0.5D increments). Optic size: 6.0mm. Overall Length: 11.0mm
$758.00
DE497 Oculents LENTIS Mplus LS-313MF Preloaded
IQ Medical
Pre-loaded Foldable one-piece multifocal plate haptic acrylic IOL.
Overall Length 11.0mm and Optic Size 6.0mm. Available diopters +-10.0D to
+36.0D (0.05D steps)
$758.00
IQ024 PreciSAL Mulitfocal PM302AC Pre-loaded acrylic single piece, foldable
intraocular lens with anterior and posterior optichaptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV filter.
Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D
steps: +10.5 to +17.5 and +28.5 to +30.0; 0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.
$758.00
SO065 HumanOptics Diffractiva Preloaded Preloaded Multifocal posterior chamber IOL,
foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic
Sphere: +10D to +30D, Near addition +3.5D $758.00
Carl Zeiss Pty Ltd
CZ035 AT LISA toric 909MP ZEISS pre-loaded, micro incision, multifocal
toric IOL. Aspheric toric anterior surface, diffractive bifocal posterior surface with asymmetric light distribution (65% distance/ 35% near), and 3.75D addition for near focus.
CZ036 AT LISA tri Toric 939MP Trifocal (aspheric), bitoric, micro incision,
single-piece IOL for capsular bag fixation, implantable with preloaded injector system. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and + 1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision,
6mm optic, 11mm diameter. Diopter range: Sph +6.0D to 24.0D, Cyl +1.0 to 4.0D (all 0.5D steps)
Diopter range -10.00 to +28.0 and +1 to +4.0 DC Optic size: 6..00mml; Overall length: 11.mm
$1,096.00
$1,096.00
Billing Code Product Name Description Size
Device Technologies Australia Pty Ltd
Benefit
Benefit
Condition
DE495 Oculentis LENTIS Mplus Toric LU- 313MFT Pre-loaded
at, pl, vblf
Patient specific one-piece multifocal-toric plate haptic acrylic IOL
Overall Length 11.0mm and Optic Size 6.0 + 0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.25 to +6.99D inclusive in 0.01D increments
$1,096.00
AL041 AcrySof IQ PanOptix Presbyopia
Correcting IOL with UltraSert pre- loaded delivery
Insight Surgical Pty Ltd
Pre-loaded Trifocal posterior chamber, UV absorbing, foldable, acrylic, aspheric, single piece lens with apodised diffractive trifocal optic and
blue light protection. The apodised diffractive
trifocal optic (anterior) provides two diffractive focal points (+3.25D near focus and 2.17D intermediate)
+13.0 to +27.0D in 0.5 Diopter increments $796.00
IS020 Medicontur BiFlex Preloaded 677PMY Hydrophilic Acrylic Foldable Multifocal Lens with Blue light Filter
IQ Medical
Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized
Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm
Powers available:
-10.0 - +9.0 D ±0.25 D increment: 1.0 D
+10.0 - +25.0 D ±0.25 D increment: 0.5 D
+25.5 - +30.0 D ±0.5 D increment: 0.5 D
+31.0- +45.0 D ±0. D increment: 1.0 D
$796.00
IQ025 PreciSAL Multifocal PM302A Pre-loaded acrylic single piece, foldable
intraocular lens with anterior and posterior optichaptic square edge, 360 degree optic square edge design, precision power calculation, aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV and blue filter powers.
Available in spherical dioptric powers from 0.0 to +30.0. 1D steps: 0.0 to +10.0; 0.5D
steps: +10.5 to +17.5 and +28.5 to +30.0;
0.25D steps: +18.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.
$796.00
SO066 HumanOptics Diffractiva Y Preloaded Preloaded Multifocal posterior chamber IOL,
foldable, UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter
Sphere: +10D to +30D, Near addition +3.5D $796.00
Billing Code Product Name Description Size
at, t1
AMO Australia Pty Ltd
AO033 TECNIS® Multifocal Toric Toric Multifocal Intraocular Lens Available +5.0 Diopters to +34.0 Diopters in
0.5 Diopter increments. Cylinder powers 1.50D, 2.25D, 3.00D and 4.00D (as measured on the IOL plane).
Benefit
$1,078.00
Benefit
Condition
AO038 TECNIS Symfony Toric Extended
Range of Vision (ZXT00)
Carl Zeiss Pty Ltd
Extended Range of Vision Toric Multifocal Posterior Chamber IOL
+6 to +30 in 0.5d steps Available Cyl powers
+1.0d, 1.5d, 2.25d, 3.00d, 3.50d
$1,078.00
CZ038 AT LISA tri toric 939M low cylinder Trifocal (aspheric), bitoric, micro incision,
single-piece IOL for capsular bag fixation. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision.
Device Technologies Australia Pty Ltd
Diopter range: -10.00 to + 32.0 DS and +1 to
+6.5DC
Optic Size: 6.0mm. Overall Length: 11.0mm
$1,078.00
DE494 Oculentis LENTIS Mplus Toric LU-
313MFT
at, t1, vblf
Patient specific one-piece multifocal-toric plate haptic acrylic IOL
Overall Length 11.0mm and Optic Size 6.0 + 0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.25 to +6.99D inclusive in 0.01D increments
$1,078.00
BL036 FineVision Toric POD FT Posterior chamber, toric, trifocal diffractive
(aspheric), UV and blue light blocker, single piece acrylic IOL.
An overall diameter of 11.40mm and optic diameter of 6.00mm. From 0 to +35 Diopters with 0.5 diopter increments.
$1,116.00
DE394 Oculentis LENTIS Mplus Toric LU-
313 MF30TY
Lumos Medical Pty Ltd
Patient specific one-piece multifocal-toric plate haptic acrylic IOL.
Overall Length 11.0mm and Optic Size 6.0mm, +-0.0D to +36.0D inclusive in 0.01D increments. Cyl +0.25D to +6.99D inclusive in 0.01D increments.
$1,116.00
LN006 ALSAFIT TRIFOCAL TORIC VF Single piece trifocal toric aspheric foldable
introcular lens for implantation into the capsular bag. Violet filter.
Diopter power range : Sphere: From 0.0 D to
+32.00 D (0.50 D increments). Cylinder: From
+0.50 D to +6.00 D (0.50 D increments). Optic size: 6mm. Overall length: 11.0mm.
$1,116.00
Billing Code Product Name Description Size
at, t2
Carl Zeiss Pty Ltd
Benefit
Benefit
Condition
CZ039 AT LISA tri toric 939M high
powered cylinder
Trifocal (aspheric), bitoric, micro incision, single-piece IOL for capsular bag fixation. The trifocal (anterior) optic provides two diffractive focal points (+3.33D near focus and +1.66D intermediate focus) with asymmetric light distribution 50% distance / 20% intermediate / 30% near vision.
Diopter range: -10.00 to + 32.0 DS and +7 to
+12 DC
Optic Size: 6.0mm. Overall Length: 11.0mm
$1,350.00
Device Technologies Australia Pty LtdDE389 Oculentis LENTIS Mplus LU-
313MFT
at, t2, vblf
Patient specific one-piece multifocal-toric acrylic plate haptic IOL
Overall Length 11.0mm and Optic size 6.0mm
+-0.0D to +36.0D inclusive in 0.01D increments. Cyl +6.99D to +12.0D inclusive in 0.01D increments
$1,350.00
DE395 Oculentis LENTIS Mplus LU-313
MFTY
at, vblf
Patient specific one-piece multifocal toric plate haptic acrylic IOL. Violet Light Filter
Overall Length 11.00mm and Optic Size 6.0mm +-0.0D to +36.0D inclusive in 0.01D increments. Cyl +7.00D to +12.0D inclusive in 0.01D increments.
$1,388.00
AL028 AcrySof IQ ReSTOR SN6AD3 Posterior Chamber, UV absorbing, foldable,
acrylic, single piece lens with apodised diffractive optic and blue light protection
+6 D to + 34 D $778.00
AL030 | AcrySof IQ ReSTOR SN6AD1, | Posterior Chamber, UV absorbing, foldable, | +6 D to + 34 D | $778.00 |
| SV25T0 and MN6AD1 | acrylic, single piece lens with apodised |
|
|
|
| diffractive optic and blue light protection |
|
|
AL040 | AcrySof IQ PanOptix Presbyopia | Trifocal posterior chamber, UV absorbing, | +13.0 to +30.0D in 0.5 Diopter increments | $778.00 |
| Correcting IOL | foldable, acrylic, aspheric, single piece lens | and +31.0 to +34.0D in 1.0 Diopter increments |
|
|
| with apodised diffractive trifocal optic and blue |
|
|
|
| light protection. |
|
|
|
| The apodised diffractive trifocal optic (anterior) |
|
|
|
| provides two diffractive focal points (+3.25D |
|
|
|
| near focus and 2.17D intermediate focus). |
|
|
Billing Code Product Name Description Size
Bausch & Lomb (Australia) Pty Ltd
Benefit
Benefit
Condition
BL034 FineVision Micro F Posterior chamber, UV absorbing, foldable, aspheric, acrylic, single piece lens with apodised diffractive , trifocal optic and blue light protection
An overall diameter of 10.75mm and optic diameter of 6.15mm. From 0 to +35 dopters with 0.5 diopter increments.
$778.00
DV248 HOYA PY-60MV Preloaded in cartridge, Multifocal, Aspheric, Blue-blocker, Single Piece, Hydrophobic
+14.0D to 27.0D (0.5 steps) $778.00
IS019 Medicontur BiFlex 677MY Hydrophilic Acrylic Foldable Multifocal Lens with Blue light Filter
IQ Medical
Posterior chamber IOL, 360° Special Square Edge, Aspheric – Coma optimized
Optic diameter: 6.0 mm ±0.10 mm, Overall diameter: 13.0 mm ±0.20 mm
Powers available:
-10.0 - +9.0 D ±0.25 D increment: 1.0 D
+10.0 - +25.0 D ±0.25 D increment: 0.5 D
+25.5 - +30.0 D ±0.5 D increment: 0.5 D
+31.0- +45.0 D ±0. D increment: 1.0 D
$778.00
IQ022 PresiSAL Multifocal M302A Acrylic single piece, foldable intraocular lens
with anterior and posterior optic-haptic square edge, 360 degree optic square edge design, precision power calculation. Aberration technology, pupil independent diffractive anterior surface with a near sight correction addition of up to +3.5D, and UV and blue light fliters.
Available in sperical dioptric powers from 0.0D to +30.0D. 1D steps: 0.0D to +10.0D;
0.5D steps: +10.5 to +17.5 and +28.5 to
+30.0; 0.25D steps: +18.0.0 to +28.0; near sight correction addition up to +3.5D on all spherical dioptric powers.
$778.00
LN004 ALSAFIT TRIFOCAL VF Single piece trifocal aspheric foldable
intraocular lens for implantation into the capsular bag. Violet filter.
Diopter power range: 0.0 D to +32.00 D (0.50 D increments).
Optic size: 6mm. Overall length: 11.0mm.
$778.00
SO064 HumanOptics Diffractiva Y Multifocal posterior chamber IOL, foldable,
UV absorber, Aspheric, aberration technology, 360° LEC barrier, HD optic, Blue light filter
Sphere: +10D to +30D, Near addition +3.5D $778.00
Billing Code Product Name Description Size
t1, at
Benefit
Benefit
Condition
CZ025 | Carl Zeiss Pty Ltd AT LISA toric 909M |
ZEISS micro incision, multifocal toric IOL |
6mm optic, 11mm diameter. Diopter range: |
$1,078.00 |
|
| (standard cyl range). Aspheric toric anterior surface, diffractive bifocal posterior surface with asymmetric light distribution (65% distance / 35% near), 3.75D addition for near focus. | Sph -10.0D to +32.0D, Cyl +1.0 to 6.5D (all 0.5D steps) |
|
| Kevin Grundy (IBD) Pty Ltd |
|
|
|
KG010 | Rayner M-Flex Toric (Standard) | Acrylic, Foldable, Single Piece, Multi-zoned Refractive Aspheric Toric Mulitfocal with Amon-Apple enhanced 360 degree Square edge, Anti Vaulting Haptics | 5.75mm / 12.0mm: 6.25mm / 12.5mm +3.00D or +4.00D Addition FAR: +14.0D to +32.00D in 0.5 STEPS: +2.00D +3.00D +4.00D Cylinder. NEAR: +14.0D to 27.0D in 0.5 STEPS: +2.00D +3.00D +4.00D Cylinder | $1,078.00 |
KG011 | Rayner "M-Flex" Toric (Non Standard) | Acrylic, Foldable, Single Piece, Muli-Zoned Refractive, Toric Multifocal with Amon-Apple enhanced 360 Degree square edge, Anti- vaulting Haptics, Patient Specific. | 5.75/12.0mm: 6.25/12.5mm +3.00D to +4.00D Addition FAR: +14.0D to +32.0D in 0.5D Increments: NEAR: +14.0D to +27.0D in 0.50D Increments Cylinder: 1.0D to 1.5D and 2.5D to 6.00D in 0.5 increments | $1,078.00 |
t1, at, vblf
Alcon Laboratories (Aust.) Pty Ltd
AL033 AcrySof IQ ReSTOR multifocal toric IOL (SND1T2-5; SV25T2-6)
t2, atCarl Zeiss Pty Ltd
Posterior chamber UV absorbing foldable, acrylic, aspheric, toric single piece lens with apodised diffractive optic and blue light protection.
+6 to +34 D spherical; 1.00 to 3.00 D cylinder $1,116.00
CZ024 AT LISA toric 909M ZEISS micro incision, multifocal toric IOL (high cyl range). Aspheric toric anterior surface, diffractive bifocal posterior surface with asymmetric light distribution (65% distance / 35% near), 3.75D addition for near focus.
6mm optic, 11mm diameter. Diopter range: Sph -10.0D to +32.0D, Cyl +7.0 to 12.0D (all 0.5D steps)
$1,350.00
Billing Code Product Name Description Size
01.02.02.05 - Accommodative
pa
Benefit
Benefit
Condition
IQ Medical
IQ003 Tetraflex Acrylic single piece, foldable accommodating intraocular lens with sqare edge design, custom control precision and closed loop haptic design
1.2.3 - Pseudo-phakic, piggy-back
Available in dioptric powers from +5.0 to
+36.0, 1D steps: +31.0 to +36.0; 0.5D steps:
+5.0 to +18.0 and +25.0 to +30.0; 0.2D steps;
+18.0 to +25.0
$702.00
DV246 Rayner Sulcoflex Ashperic
(Premium) I.O.L.
at
Pseudophakic Supplementary I.O.L.O.L. -10.0D to -5.50D in 0.5D
increments. +5.50D to 10.00D in 0.5D increments
$291.00
KG008 Rayner "Sulcoflex" Pseudophakic
I.O.L.
at, t1, vblfSpectrum Surgical
Sulcoflex Aspheric Pseudophakic I.O.L -5D to +5D $328.00
SO061 HumanOptics Torica Add-On IOL Toric Add-On IOL for sulcus fixation in
pseudophakic eyes, 3-piece, foldable, UV absorber, blue light filter, Iris protection, safety profile technology and undulated haptics
Sphere: -4.0 to +1.5 in 0.5D steps, Cylinder < 7D
$666.00
Spectrum Surgical
SO062 HumanOptics Secura Add-On IOL Add-On IOL for sulcus fixation in
pseudophakic eyes, 3-piece, foldable, UV absorber, blue light filter, Iris protection and safety profile technology
-6.0 to +6.0 in 0.5D steps $346.00
Kevin Grundy (IBD) Pty Ltd
KG005 Rayner Sulcoflex Aspheric Toric
Pseudophakic Secondary I.O.L - Standard
Acrylic, Aspheric, Toric Pseudophakic Secondary IOL : Sulcus fixated with undulating Haptics and Posterior Haptic Angulation (Standard)
SE -3 to +3 in 0.5 D stepsCyl +1 to +3 in 1D steps
$628.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
KG007 | Rayner Sulcoflex Aspheric Toric Pseudophakic Secondary IOL (Premium) | Acrylic, Aspheric, Toric Pseudophakic Secondary IOL: Sulcus fixated with undulating Haptics and Posterior Haptic Angulation (Premium) | SE -6.00 to +6.00 in 0.5 D steps Syl +1.00 to +6.00 in 0.5D steps | $628.00 |
|
|
1.2.3.2 - Multi-focal
EG014 REVERSO Multifocal Intraocular lens -3 to +3 $702.00
atKevin Grundy (IBD) Pty Ltd
KG006 Rayner "Sulcoflex" Aspheric Multi-
focal Pseudophakic Secondary IOL
at, t1Designs for Vision Pty Ltd
DV254 Rayner Premium Sulcoflex
Multifocal Toric Supplementary IOL
DV255 Rayner Standard Sulcoflex Multifocal Toric Supplementary IOL
at, t1, vblfSpectrum Surgical
SO056 HumanOptics ToricaDiffractiva Add-
On IOL
at, vblfSpectrum Surgical
Undulating Haptics and Posterior Haptic Angulation
653Z-Premium Multifocal Toric Supplementary IOL
653Z-Standard Multifocal Toric Supplementary IOL
Toric Multifocal Add-On IOL for sulcus fixation in pseudophakic eyes, 3-piece, foldable, UV absorber, blue light filter, Iris protection, safety profile technology and undulated haptics.
-7D to +7D (Spherical Equivalent) Cylinder 1D, 4D, 5D, 6D Addition 3.5D
-3D to +3D (Spherical Equivalent) Cylinders 2D and 3D Addition 3.5D
-2.0 to +0.5 in 0.5D steps, Cylinder < 7D, Near addition 3.5D
$1,078.00
$1,078.00
$1,116.00
SO068 HumanOptics Diffractiva Add-On
IOL
Multifocal Add-On IOL for sulcus fixation in pseudophakic eyes, 3-piece, foldable, UV absorber, blue light filter, Iris protection and safety profile technology.
-6.0 to +6.0 in 0.5D steps, Near addition 3.5D $778.00
Billing Code Product Name Description Size
01.03.01 - Viscoelastic
Alcon Laboratories (Aust.) Pty Ltd
Benefit
Benefit
Condition
AL006 PROVISC VISCOELASTIC SOLUTION
PROVISC contains sodium hyaluronate 0.85mL pack $80.00
AL007 VISCOAT Viscoelastic Fluid Chondroitin sulfate and sodium hyaluronate 0.75mL $80.00
AL015 Cellugel viscoelastic fluid Hypromellose 2% . $80.00
AL029 DisCoVisc Ophthalmic Viscosurgical Device
Sodium hyaluronate 17 mg/mL and chondroitin sulfate 40mg/mL
0.5 mL and 1.0 mL $80.00
AO032 Healon Endocoat Viscoelastic 0.85ml $80.00
Bausch & Lomb (Australia) Pty LtdBL008 Ocucoat Intraocular Fluid 20mg/mL hydroxypropylmethyl cellulose for
intraocular use
BL015 Amvisc Plus injection 15mg/mL Sodium Hyaluronate for intraocular
use
1ml and 2ml Sterile $80.00
0.5mL and 0.8mL $80.00
CZ012 Z-HYALIN Viscoelastic Cohesive Viscoelastic Solution - sodium
hyaluronate 10mg/ml. (previously called Ophthalin)
CZ013 Z-HYALIN Plus Viscoelastic Cohesive Viscoelastic Solution - sodium
hyaluronate 15mg/ml. (previously called Opthalin Plus)
CZ022 VISTHESIA 1.5% VISCOANAESTHETIC syringe contains sodium hyaluronate (NaHA, 1.5%) and lidocaine hydrochloride (1%). Also contains two topical ampoules with NaHA (0.3%) and lidocaine (2%)
Volume 1.0ml $80.00
Volume 1.0ml $80.00
0.8ml syringe & 2x0.3ml ampoules $80.00
IQ002 Ocuvis and Ocumax 2% Hydroxypropylmethylcellulose
20mg/mL hydroxypropylmethyl cellulose for intraocular use. Pre-loaded in a sterile syringe with one cannula for injection, in a sterile Tyvek pouch
2mL sterile $80.00
Billing Code Product Name Description Size
hmw
AMO Australia Pty Ltd
Benefit
Benefit
Condition
AO009 Healon 5, Intraocular Viscoelastic
Fluid
HEALON5- Sodium hyaluronate 23mg/ml . 0.6ml $85.00
AO008 Healon, Intraocular Viscoelastic Fluid Sodium Hyaluronate 10mg/ml Healon 0.55ml & 0.85ml $80.00
hmwAMO Australia Pty Ltd
AO010 Healon GV Intraocular Viscoelastic
Fluid
01.03.01.01 - Dual Fluids
Sodium Hyaluronate 14mg/mL 0.55ml and 0.85ml $85.00
AL005 DUOVISC VISCOELASTIC
SYSTEM
Carl Zeiss Pty Ltd
PROVISC contains sodium hyaluronate, VISCOAT contains chondroitin sulfate and sodium hyaluronate
Small & large packs $110.00
CZ019 TWINVISC Viscoelastic TWINVISC includes a cohesive and a
dispersive viscoelastic in one syringe, separated by a valve. Dispersive: sodium hyaluronate (2.2%). Cohesive: sodium hyaluronate (1%)
Total volume 1.4 ml $110.00
DV231 Vision Blue Trypan blue dye for ophthalmic applications 0.5ml syringe $48.00
EG013 Retidyne Tissue staining in Ophthalmic Surgery 0.5ml Syringe Vial $48.00
Billing Code Product Name Description Size
1.4.1 - Simple
Alcon Laboratories (Aust.) Pty Ltd
AL001 Capsular Tension Rings - 10.0 - 12.0 compressed, 12.3 - 14.5 uncompressed
Benefit
$159.00
Benefit
Condition
AMO Australia Pty Ltd
AO021 Stabileyes Capsular Tension Ring Polymethylmethacrylate (PMMA) Implant 12mm ring, and 13mm ring $159.00
Designs for Vision Pty LtdDV009 Morcher Capsular Tension Ring PMMA Implant 14, 14A, 14C $159.00
EG001 |
| Emagin Pty Ltd Capsular Tension Rings Clear |
PMMA Implant |
10/08, 12/10, 13/11mm |
$159.00 |
| pl |
|
|
|
|
|
| Designs for Vision Pty Ltd |
|
|
|
DV029 |
| Eyejet CRT | Capsular tension ring made of PMMA per-load on disposable injector | 14 (10mm), 14C (11mm), 14A (12mm) | $243.00 |
|
pl |
|
|
|
|
|
| Emagin Pty Ltd |
|
|
|
EG018 |
| RINGJECT | Preloaded Capsular tension ring | 12/10, 13/11 | $243.00 |
iNova Pharmaceuticals Australia Pty Ltd | |||||
IL003 |
| Preloaded Capsular Tension Ring | Capsular tension ring preloaded (acrylic) | 13/11mm | $243.00 |
IS018 |
| Insight Surgical Pty Ltd Jetring |
Preloaded PMMA (polymethyl methacrylate) capsular tension ring. |
JETRING 11ACB Right Overall diameter: 13.0 mm ±0.20 mm Compressed diameter: 11,0 mm ±0.20 mm Haptic: ø0.17 mm ±0.02 mm Haptic design: straight, open modified C-loop |
$243.00 |
|
|
|
| JETRING 12ACB Right Overall diameter: 14.5 mm ±0.20 mm Compressed diameter: 12,0 mm ±0.20 mm Haptic: ø0,20 mm ±0.02 mm Haptic design: straight, open modified C-loop |
|
Lumos Medical Pty Ltd
LN001 Inside CTR Preloaded PMMA capsular tension ring Type 14 (12.3mm open, 10.0mm compressed),
Type 14C (13.0mm open, 11.0mm compressed), Type 14A ( 14.5mm open, 12.0mm compressed), Type 13 ( 12.3mm open, 10.0mm compressed), Type 13A ( 13.0mm open, 11.0mm compressed), Type 13B ( 14.5mm open, 12.0mm compressed), Type 19D (11.6 mm open, 10.0/9.5/9.0/8.5mm compressed), Type 10C ( 12.1mm open, 11.0mm compressed)
$243.00
DV010 Morcher Coloboma Diaphram PMMA Implant 96G, 96L $334.00
1.5.1 - Long Tube
AO012 Baerveldt Glaucoma Implant BG 101- 350, Baerveldt Glaucoma Implant BG 103-425, Baerveldt Glaucoma
Implant BG 103-250
Designs for Vision Pty Ltd
Non-valved artificial drainage device, composition silicone - smooth, tumble-polished finish
Surface area 250, 350, 425mm2 $425.00
DV020 Molteno Implant Double plate - dual chamber One size only $425.00
DV242 Molteno Implant Glaucoma Drainage Device - Single Plate/Single Plate-Dual Chamber/Double Plate
N/A $425.00
Designs for Vision Pty Ltd
DV230 Molteno 3 Drainage implant for glaucoma, made of silicon 2 Sizes: *230 mm square *175mm square $625.00
vLumos Medical Pty Ltd
LN002 Ahmed Glaucoma Valve Model FP7 A sterile device designed to regulate the flow
of Fluid between the anterior chamber and the space around the conjunctiva of the eye be allowing flow when the pressure in the chamber is above a pre-set value (e.g., 8 to 10 mmHg). Made of medical grade silicone
one size $625.00
AL037 ExPress Minature Glaucoma Shunt Miniature Glaucoma Shunt 50 & 200 microns $715.00
1.5.3 - Ab Interno Glaucoma Drainage Device
RQ072 iStent Trabecular Micro-Bypass Stent The iStent GTS100R and GTS100L are micro-
invasive glaucoma surgical devices which are implanted in an "ab interno" procedure into the trabecular meshwork to create a bypass through the trabecular meshwok to Schlemm's Canal to improve aqueous outflow through the natural physiologic pathway.
1.0mm in length, 0.33mm in height with a snorkel length of 0.25mm
$800.00
Opthalmico Pty Ltd
OQ002 Hydrus Microstent Intracanalicular scaffold, made from a biocompatible alloy, for the treatment of primary open angle glaucoma
8 mm in length $1,400.00
tdaRQSolutions Medical Devices Distribution Support
RQ075 iStent Inject System The iStent Inject is a pre-loaded injection system which delivers two stents across the trabecular meshwork to provide a pathway for aqueous humor to flow from the anterior chamber. It is indicated for use in conjunction with cataract surgery for the reduction of IOP in subjects with mild to moderate open angle glaucoma currently treated with ocular hypotensive medication.
One size $1,600.00
SO017 FCI Ptose-up Expanded PTFE 15cm long x 2 or 3mm wide x 0.35mm thick $348.00
1.6.2 - Weights
DV260 Meddev Eyelid Weight, Implantable Thin Profile eyelid implants for patients with
facial palsy
Device Technologies Australia Pty Ltd
Gold Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6g $425.00
DE183 Lid Load Gold Eyelid Weights; Gold 0.6, 0.8, 1.0, 1.2, 1.4, 1.6 grams $425.00
Spectrum SurgicalSO047 Meddev Eyelid Weight, Implantable Thin Profile eyelid implants for patients with
facial palsy
Gold Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6g $425.00
DV259 Meddev Eyelid Weight, Implantable Thin Profile eyelid implants for patients with
facial palsy.
Device Technologies Australia Pty Ltd
Contour Gold 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8g $800.00
DE182 Lid Load Gold Eyelid Weights; Gold 1.8, 2.0, 2.2, 2.4, 2.6, 2.8 grams $800.00
Billing Code Product Name Description Size
Spectrum Surgical
Benefit
Benefit
Condition
SO046 Meddev Eyelid Weight, Implantable Thin Profile eyelid implants for patients with
facial palsy.
Contour Gold 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8g $800.00
1.6.2.3 - Platinum
RC001 LIDCHAIN Platinum Eyelid Implant Platinum Weights - 0.8, 1.0, 1.2, 1.4, 1.6, 1.8 grams $1,300.00
Designs for Vision Pty LtdDV261 Meddev Eyelid Weight, Implantable
Platinum
Spectrum SurgicalSO048 Meddev Eyelid Weight, Implantable
Platinum
1.7.1 - Intracanalicular
Thin Profile eyelid implants for patients with facial palsy
Thin Profile eyelid implants for patients with facial palsy
Platinum Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6g
Contour Platinum 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8g
Platinum Thin 0.6, 0.8, 1.0, 1.2, 1.4, 1.6g
Contour Platinum 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8g
$1,300.00
$1,300.00
DV022 Eyetec DCR Tubes Stainless steel, silicone tubing, Bodkin lacrimal intubation set
30cm $135.00
DV241 Eyetec DCR Tubes Crawford and Cannaliculus Intubation Sets N/A $135.00 DV256 LIS 052 "StenTube" Large Diameter Lachrymal Intubation Set             1.32mm Tube diameter             $135.00
DE191 Canaliculus Intubation Sets Silicone, SS & Nylon 17.7 x .064 x 29cm, 15.5 x .051 x 33cm $135.00
DE278 BD Visitec Lacrimal Intubation Sets Stainless steel probes with solid silicone rods or
silicone tubing - packaged sterile
$135.00
Billing Code Product Name Description Size
Spectrum Surgical
Benefit
Benefit
Condition
SO021 FCI Lacrimal Intubation Set PVP Coated Silicone Tubing/PVP Coated
Silicone Plug/Metal Probes/Polypropylene Thread
PVP Bika: 0.64mm O.D. Tube/80 x 0.8mm probes, PVP Differential Bika: 0.64 & 1.18mm O.D. Tube/40 x 1.2mm probes, PVP Bika for DCR: 0.94mm O.D. Tube/50 x 0.8mm probes, PVP Infant Bika 0.64mm O.D. Tube/55 x 0.7mm probes, PVP Infant Bika II: 0.64mm O.D. Tube/
$135.00
SO043 FCI Bi-Canalicular Lacrimal Intubation Set
mc
Silicone tubing swaged, imbedded into or around malleable and flexible stainless steel probes. PEEK thread.
Probes: 40mm to 120mm x 0.7mm to 1.2mm. Tube: 0.64mm to 1.18mm x 25mm to 400mm. PEEK Thread: 0.2mm to 0.4mm x 500mm.
$135.00
SO044 FCI Mono-Canalicular Lacrimal Intubation Set
Silicone tubing with plug swaged, imbedded into or around malleable or flexible stainless steel probes or guides. PEEK thread. Introducer.
Probes: 40mm to 120mm x 0.7mm to 1.2mm. Tube: 0.64mm to 1.18mm x 30mm to 350mm. PEEK Thread: 0.2mm to 0.4mm x 500mm. Plug Collar: 2mm to 4mm.
$180.00
Spectrum Surgical
SO049 FCI Masterka Self-retaining monocanalicular nasal intubation WITHOUT nasal retrieval
30mm to 40mm $240.00
Spectrum Surgical
SO050 FCI Nunchaku Self-retaining bicanalicular nasal intubation WITHOUT nasal retrieval
90mm to 105mm $195.00
DE177 Lester Jones Tear Duct Tubes Glass 3 x 9 to 16mm, 3.5 x 9 to 18mm, 4.0 x 9 to 24mm, 5.0 x 9mm
$84.00
Billing Code Product Name Description Size
1.7.3 - Balloon Dilatation Catheters
Benefit
Benefit
Condition
Designs for Vision Pty Ltd
DV258 Lacricath Lachrymal Duct Balloon
Catheter
bilateralDesigns for Vision Pty Ltd
DV257 Lacricath Lachrymal Duct Balloon
Catheter
Unilateral Lachrymal Duct Balloon Catheter system including inflation device
Bilateral Lachrymal Duct Balloon Catheter System including inflation device.
2mm, 3mm & 5mm $485.00
2mm, 3mm and 5mm $879.00
SO070 Ophtacath Lacrimal Duct Balloon
Catheter – Unilateral system
bilateralSpectrum Surgical
SO069 Ophtacath Lacrimal Duct Balloon
Catheter – Bilateral system
1.8.1 - Intrascleral
Unilateral balloon catheter kit containing balloon catheter & inflation device
Bilateral balloon catheter kit containing balloon catheter & inflation device
2mm and 3mm $485.00
2mm and 3mm $879.00
DE188 Acrylic Implant Acrylic 12, 14, 16, 18, 20mm. $55.00
DE202 John Weiss Glass Mule Globes Glass No: 12, 14, 16, 18, 20mm $55.00
Spectrum SurgicalSO040 FCI Orbital Implants Silicone - Sterile 12mm to 22mm $55.00
vpSpectrum Surgical
SO006 FCI Orbital Implants Orbital Implant, Bioceramic (Aluminium Oxide)/Hydroxyapatite (Synthetic)
Bioceramic diameter, 12, 14, 16, 18, 20, 21,
22mm; Synthetic Diameter, 10, 12, 14, 16, 18,
20, 22mm
$1,200.00
Billing Code Product Name Description Size
1.8.2 - Extrascleral
1.8.2.1 - Complex and permeable
Benefit
Benefit
Condition
Stryker Australia Pty Ltd
SK521 Sphere Orbital Sphere Models 6316, 6326, 6327, 6317
and 6322 8702-8704. COI implant, models
7222, 7223 & 80026. MCOI implant, models
7207 - 7209 Quad Motility Implants 9866 -
9868 & 80022
ha
Orbital Sphere Models 6316: 14mm, 6326:
16mm, 6327: 18mm, 6317: 20mm, 6322:
22mm, 8702: 19mm, 8703: 21mm, 8704:
23mm, COI Implants 7222: Approx 4ml, 7223: Approx 5ml, 80026: Approx 6ml,
MCOI 7207: Approx 3ml, 7208: Approx 4.2ml, 7209: Approx 5.6ml, QUAD Motility Small 16ml, Medium: 18ml, Large: 20ml, Extra Large: 22ml.
$785.00
SO007 FCI Orbital Implants Mesh wrapped orbital implant: mesh wrapped bioceramic (aluminium oxide), mesh wrapped hydroxyapatite (synthetic), mesh wrap (polyglycolic acid)
Bioceramic diameter: 16, 18, 20, 22mm;
Synthetic Hydroxyapatite diameter: 16, 18, 20, 22mm
$1,600.00
SPIRAN PTY. LTD.
S2005 Biopore Sphere An implantable device made of high-density polyethylene material with an interconnecting pore structure that supports tissue ingrowth. The device is available in sizes to meet the patient's specific needs. Used for orbital reconstruction following enucleation and evisceration procedure.
14mm, 16mm, 18mm, 20mm, 22mm, 24mm (diameter)
$1,930.00
1.8.2.2 - Multi-component
SO019 FCI Orbital Implants Peg & Sleeve Standard Large $863.00
Billing Code Product Name Description Size
1.8.3 - Fascial - solid and permeable
Device Technologies Australia Pty Ltd
Benefit
Benefit
Condition
DE277 | Frontalis Suspension Set | Stainless steel needles with solid silicone rods and silicone tubing - packaged sterile | needles 0.90mm x 6.5cm, rod 40cm - 0.80mm, sleeve 10 x 2mm | $315.00 |
| Spectrum Surgical |
|
|
|
SO045 | FCI Ptosis Probes | Stainless steel needle probes swaged with silicone tubing. | 80mm x 0.8mm needle probes, 280mm 0.64mm tubing. | $315.00 |
1.9.1 - Buckles, bands, tyres and sponges
Austmed Pty Limited
AP003 | Mira: Scleral Implants | Solid Silicone-Tire/Meridional/Wedge/Pad. Retinal Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer) | Tires-Mira 286 Wendel Symmetrical Oval Tire 6mm, Mira Symmetrical Oval Tire 7mm, Mira 287WG Murray wide (3.5mm) grooved symmetrical tire, 10mm wide, Mira 288 ross symmetrical grooved tire, low profile 10mm wide by 2.5mm, Mira 289 Symmetrical oval tire 10mm, Mira 277Symmetrical tire 7mm, Mira 279 Symmetrical tire 9mm, Mira 78G Grooved symmetrical tire 10mm, Mira 281 Symmetrical tire 12.5mm, Mira 275 Munsen Asymmetrical tire 6mm, Mira 276 Asymmetrical tire 7mm, Mira 278 Brockhurst asymmetrical tire 8.5mm, Mira 280LG Large grooved asymmetrical tire 10mm, Mira 77G Grooved hemisphere 26mm. Meridional- Mira 106 Meridional Implant 6mm by 10.5mm, Mira 112 Curved Meridional implant 12mm by 12mm, Mira 103 Meridional implant 4mm by 15mm. Wedge- Mira 135 Pruett maxi wedge 14mm, Mira Pruett midi wedge 12mm, Mira 190 Spencer sub-implant 5mm by 10mm. Pad- Mira 80 Pad 4mm by 8mm, Mira 22 Button 5mm by 5mm | $45.00 |
AP004 | Mira: Scleral Implants | Solid Silicone-Sleeve. Retinal Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer) | Sleeves-Mira 70 Sleeve 1mm I.D., Mira 71 Sleeve 1mm I.D., Mira 72 McNutt Sleeve 1.57mm I.D., Mira 270 Sleeve 0.76mm I.D. | $45.00 |
Billing Code Product Name Description Size
Benefit
Benefit
Condition
AP006 Mira: Scleral Implants Solid Silicone-Band/Strip/Boat/Clip. Retinal
Implant used in Scleral Buckling (Dimethylmethylvinyl Siloxane Copolymer)
Device Technologies Australia Pty Ltd
Bands-Mira 40 Circling Band 2mm, Mira 240 Circling Band 2.5mm. Strips-Mira 41 Strip 3.5mm, Mira 42 Strip 4mm, Mira 20 Strip 4mm, Mira 219 Strip 4.5mm, Mira 31 Strip 4.5mm, Mira 32 Strip 5mm, Mira 225 Oval Strip 5mm, Mira 220 Strip 6mm. Boats-Mira 60 Boat 2mm, Mira 260 Boat 2.5mm. Clips- Mira 50 Double Tantalum Clip 2mm, Mira 250 Double Tantalum Clip 2.5mm, Mira 51 Singla Tantalum Clip 3.5mm, Mira 52 Joondeph Single Tantalum Clip 4mm
$45.00
DE179 Silicon Retinal Implant Tire 7.0, 9.0, 12.5, 6.0, 8.5, 10.0mm $45.00
DE181 Silicon Retinal Implant Band 0.75 x 2.0 x 125mm, 0.60 x 2.5 x 125mm,
0.75 x 2.5 x 125mm
$45.00
SO009 FCI Scleral Buckling Devices Band/strip: solid silicone Band - 2.0 x 0.75mm Type 40, 3.5 x 0.75mm
Type 41, 4.0 x 1.25mm Type 42, 2.5 x 0.6mm Type 240, Morin 3.5 x 0.6mmStrip - 5.7mm Type 20, 7.2mm Type 31, 9.2mm Type 32, 6mm Type 219, 7.5mm Type 220, 8mm Type 225
SO011 FCI Scleral Buckling Devices Tire: Solid Silicone Symmetrical: (2.5 mm Groove, 7 to 9mm wide), Biconvex: (2.5mm Groove, 7 to 10mm wide), Asymetrical: (2.5mm Groove, 7 to 10mm wide)
SO013 FCI Scleral Buckling Devices Strip: Solid Silicone Strip: 1.4 x 4.4 x 100mm, Morin Strip: 7mm wide x 100mm long, Caputo Zip Strip: 7 to 9mm wide x 120mm long, Korobelnik Oval Strip: 2 x 5mm
$45.00
$45.00
$45.00
Billing Code Product Name Description Size
01.09.01.01 - Sponges
Benefit
Benefit
Condition
Austmed Pty Limited
AP002 Mira: Scleral Implants Silicone Sponge- Retinal Implant Used in
Scleral Buckling (Silicone Elastomer Sponge)
Device Technologies Australia Pty Ltd
Sponge- Mira 502 Cylinder 2mm, Mira 5025 Cylinder 2.5mm, Mira 503 Cylinder 3mm, Mira 504 Cylinder 4mm, Mira 505 Cylinder 5mm, Mira 505G Grooved cylinder 5mm, Mira 505T Packer tunnel cylinder 5mm, Mira 510 Half cylinder 5mm, Mira 515 Brucker two-thirds cylinder 5mm, Mira 501 Masciulli oval 2.5mm by 4mm, Mira 506 Vaiser oval 3mm by 5mm, Mira 506G Vaiser grooved oval 3mm by 5mm, Mira 507 oval 5.5mm by 7.5mm, Mira 507G Grooved oval 5.5mm by 7.5mm, Mira 507T Packer tunnel oval 5.5mm by 7.5mm, Mira 511 Half oval 7.5mm, Mira 517 Brucker two-thirds oval 7.5mm, Mira 509 Fuller flat oval 3.5mm by 7.5mm, Mira 509G Fuller grooved flat oval 3.5mm by 7.5mm, Mira 518 Frederick grooved flat oval 2.5mm by 12mm, Mira 508 Frederick flat oval 4mm by 12mm, Mira 508G Frederick grooved flat oval 4mm by 12mm, Mira 513 Snyder 3+ meridional 7mm by 4mm, Mira 514 Snyder 4+ meridional 8mm by 5mm, Mira 516G Tapered groove 6.4mm, Mira 519G Tapered groove 7.5mm by 3.2mm.
$90.00
DE178 Silicon Retinal Implant Sponge 2.5 x 4.0 x 80mm, 3.0 x 5.0 x 100mm, 3.25 x 7.0 x 80mm, 5.5 x 7.5 x 80mm, 1.5 x 80mm,
2.0 x 80mm, 2.5 x 80mm, 3.0 x 80mm, 4.0 x 80mm, 5.0 x 80mm, 7.0 x 80mm
$90.00
SO012 FCI Scleral Buckling Devices Sponge/Cord: Silicone Cord: 1.0 to 5.0mm O.D. x 150mm length;
Half Cord: 3.0mm to width x1.5mm to 2.5mm height x150mm; Circular Sponge: 3 to 5mm; Oval Sponge: 2 to 5.5mm x 4 to 12mm; Half Sponge: 2 to 3.1mm x 4 to 7.5mm; Grooved Sponge: 3 to 5mm x 5 to 12mm; Gain Sponge: 6 x
$90.00
Billing Code Product Name Description Size
1.9.2 - Clips and tacks
Benefit
Benefit
Condition
Device Technologies Australia Pty Ltd
DE201 Labtician Tantalum Clips Tantalum 2, 2.5mm $50.00
1.9.3 - Sleeves
DE180 Silicon Retinal Implant Sleeve 1mm, .76mm, 1.5mm $25.00
Spectrum SurgicalSO010 FCI Scleral Buckling Devices Fixation Sleeve: Solid silicone O.D: 1.65 to 2.41mm, Length 30mm $25.00
1.9.4 - Intraocular Gases
AL035 ISPAN Retinal Gases for Constellation® Vision System
Tamponade gases for retinal surgery C3F8 and SF6
125g cylinder, dispensed in single dose syringe $75.00
AL036 ISPAN retinal gases Tamponade gases for retinal surgery C3F8 and SF6
125 g cylinder, dispensed in single dose syringe
$75.00
DE284 Single Dose Ophthalmic Gases Single dose tamponading gas for retinal surgery 30ml $75.00
IQ MedicalIQ012 EasyGas Endotamponade Gases for Retinal Surgery, EasyGas SF6, C2F6 or C3F8, each supplied in a 60ml syringe, sterile
60ml dispensed in a single dose, sterile syringe $75.00
SO052 ala intraocluar gas Intraocluar gas for retinal tamponade use 60ml syringe volume $75.00
Billing Code Product Name Description Size
1.9.5 - Intraocular Heavy Liquids
Benefit
Benefit
Condition
Alcon Laboratories (Aust.) Pty Ltd
AL013 Perfluoron Kits Perfluoro-n-octane for use as a retinal surgery additive
AL014 Perfluoron Kits Perfluoro-n-octane for use as a retinal surgery additive
Bausch & Lomb (Australia) Pty LtdBL017 Perfluo-octane (Oktaline) Okta-Line Perfluorocarbon Liquid for use as a retinal
surgery additive
5mL $240.00
7mL $240.00
5mL $240.00
BL018 DK Line 100% purified perfluorodecalin
Designs for Vision Pty Ltd
Perfluorodecalin 7ml $240.00
DV244 D.O.R.C. Eftiar Eftiar Decaline and Octane 5ml 5ml $240.00
Device Technologies Australia Pty LtdDE204 | Arcaline (Perfluorodecaline) | Liquid perfluorocarbon aid for retinal surgery, operative device for retinal surgery, in particular retinal detachment (RD), RD with giant tear etc. | 3ml, 5ml, 7ml | $240.00 |
DE205 | Arcotane (Perfloro-N-Octane) | Liquid perfluoro-N-Octane aid for retinal surgery, pre-operative device for retinal surgery, in particular retinal detachment (RD), RD with giant tear, RD with proliferative vitreal retinopathy (PVR) etc. | 5ml, 7ml | $240.00 |
IQ Medical
IQ005 Densiron Heavy Tamponade Liquid Medium, Postoperative
IQ008 Octane & Decalin Perfluorocarbon retinal tamponade medium, intraoperative
10 ml, Sterile $240.00
5ml & 7ml, Sterile $240.00
SO051 ala octa/deca Perfluorocarbon liquid for retinal tamponade use
5ml / 7ml $240.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
SO054 FCI - DECA, FCI - OCTA FCI - DECA: Purified perflurodecalin, FCI -
OCTA: Purified perfluoro-N-Octane
1.9.6 - Intraocular Silicone Oils
5ml / 7ml $240.00
BL016 Oxane LMWC Fractioned Silicone
Oil
Purified fractioned silicone oil 10mL $195.00
BL024 Oxane HD Silicone oil - RMN3 mixture 10ml $195.00
Designs for Vision Pty LtdDV243 D.O.R.C. Silicon Oil D.O.R.C. Silicon Oil 1000/5000CS 10ml $195.00
Device Technologies Australia Pty LtdDE228 LSO Silicone Oil Silicone oil for tamponade use in vitreoretinal surgery
10ml, vial or syringe $195.00
IQ006 Siluron 1000 & Siluron 5000 Silicone Oils 10 ml, Sterile $195.00
Spectrum SurgicalSO022 FCI Purified Silicone Oil (Solvent
Free)
Viscosity: 1000 cst/5000 cst: solvent free purified silicone oil
10ml $195.00
SO053 Ala sil Silicone oil for retinal tamponade use 10ml $195.00
HOSpectrum Surgical
SO077 ala heavy Ultrapure fluorinated silicone oil for retinal tamponade use
10ml $240.00
Billing Code Product Name Description Size
01.10.01 - Foldable
Benefit
Benefit
Condition
Spectrum Surgical
SO076 HumanOptics Artificial Iris One sterile, foldable Artificial Iris made of
silicone, with or without fibre and custom made specific to the patient.
Custom made $6,213.00
Billing Code Product Name Description Size
02.01.01 - Cochlear Implants
Benefit
Benefit
Condition
Cochlear Limited
CO046 Cochlear™ Nucleus® CI512
Cochlear Implants with Contour Advance Electrode
Model CI512, 5th generation cochlear implant with perimodiloar electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable silicone seal.
One Size $13,570.00
Advanced Bionics Australia Pty Ltd
BD020 HiRes90K Advantage Cochlear
Implant with HiFocus 1j Electrode
BD022 HiRes90K Advantage Cochlear
Implant with the HiFocus Mid-Scala Electrode
Cochlear Limited
The HiRes90K Advantage Cochlear Implant with HiFocus 1j Electrode is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlear. It consists of receiving/transmitting coil, Stimulator electrodes and HiFocus 1j Electrode array
The HiRES90K Advantage Cochlear Implant with HiFocus Mid-Scala electrode is the implanted component of the HiResolution Bionic Ear System. It receives information through an RF transmission coil, processes the information and then sends the resulting signal to an electrode array implanted in the cochlea. It consists of receiving/transmitting coil, Stimulator electrodes and HiFocus Mid-Scala Electrode array
Implant Size: 56mm (L) x 28mm (w x5.7mm (thickness). Electrode size: Active length 17mm, Tip diameter 0.4mm, Basal diameter 0.8mm. Total length of electrode array 25mm
Implant Size: 56mm (L) x 28mm (w) x 5.7mm (thickness. Electrode size: Active length 15mm, Tip diameter 0.5mm, Basal diameter 0.7mm. Total length of electrode array 23.7mm
$13,570.00
$13,570.00
CO021 Nucleus Freedom Implant with
Contour Advance Electrode
CO024 Nucleus Freedom Implant with Straight Electrode
Model C124RE (CA), Generation 4 Cochlear implant with perimodiolar electrode array. Titanium casing, removable magnet, 22 half- banded platinum electrodes, moulded in a durable silicone seal
Model CI24RE (ST), Generation 4 Cochlear Implant with straight array electrode
one size only $13,570.00
One size only $13,570.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
CO057 Cochlear™ Nucleus® CI422
cochlear implant with Straight
CO074 Cochlear Nucleus CI522 Cochlear
Implant with Slim Straight Electrode
Model CI422, 4th generation cochlear implant with straight array. Titanium casing, removable magnet. 22 half banded platinum intracochlear electrodes moulded with a silicone elastomer carrier and spaced over a 20mm active array. The electrode diameter is 0.6mm at the badal end, tapering to 0.3mm at the apical electrode band.
Model CI522, 5th generation cochlear implant with straight electrode array. Titanium casing, removable magnet, 22 half-banded platinum electrodes, moulded in a durable tapered silicone seal.
One size $13,570.00
One size $13,570.00
US008 Mi1000 CONCERTO/ Mi1000
Concerto PIN
US012 Mi1200 SYNCHRONY Cochlear
Implant / Mi1200 SYNCHRONY PIN Cochlear Implant
Ultra small minimally invasive titanium cochlear implant with six atraumatic electrode options. Includes sequential and parallel stimulation, comprehensive diagnostic toolkit and safety features such as unique implant ID and output capacitors for each channel
Ultra small titanium implant with flexible atraumatic electrode arrays provide complete cochlea coverage. Removable and self-aligning magnet is MRI safe at 3.0 Tesla (without magnet removal)
Stimulator Housing: L 17.3 mm, W 25.4 mm, Thin 4.5 mm (Weight 7.6g)
Electrode: Standard (26.4 mm), FLEXsoft
(26.4 mm), FLEX28 (23.1mm), FLEX24 (20.9mm), Medium (20.9mm), FLEX20 (15.4mm), Compressed (12.1mm), FORM24 (18.7mm), FORM19 (14.3mm)
Stimulator Housing: L 17.3mm, W 25.4mm, Thin 4.5mm, Weight 7.6g.
Electrode: Standard (26.4mm), Compressed
(12.1mm), Medium (209.9mm), FLEX24 (20.9mm), FLEXsoft (26.4mm), FLEX28 (23.1mm), FORM19 (14.3mm), FORM24 (18.7mm), FLEX20 (15.4mm)
$13,570.00
$13,570.00
Billing Code Product Name Description Size
2.1.2 - Speech Processors
2.1.2.1 - Initial
Advanced Bionics Australia Pty Ltd
Benefit
Benefit
Condition
BD008 Harmony™ HiResolution® Bionic
Ear System - Behind The Ear Sound Processor - Auria Harmony Sound Processor (INITIAL Order)
The Auria Harmony Processor is an external component of the HiRes Bionic Ear System. This processor is intended to deliver HiResolution sound to a cochlear implant by converting sound waves (received via a microphone) into an electrical signal which is then transmitted to the implant via a headpiece. This listing includes sound processor, headpiece, earhooks, powercels, rechargers, cables and essential accessories.
Sound Processor Size 54 mm (H) x 13mm (TH) x 21 mm (w). Headpiece Diameter: 28.1 mm
$11,500.00
BD014 Neptune Sound Processor and
Headpiece (UHP) initial order includes Neptune Accessory Kit, these devices are the external part of a cochlear implant system.
System Composed of: Processor and Universal Headpiece and Cable (UHP) with Neptune Accessory kit comprising : Neptune Connect , Neptune Cover, Neptune cable for AquaMic, Thin magnet, Foam Spacer, Aquamic Color caps.
The Neptune Processor is an external component of the HiRes Bionic Ear System. This processor is intended to deliver HiResolution sound to a cochlear implant.
One size only and varying cable lengths. $11,500.00
BD017 Naida CI Q70 Sound Processor (Initial Order)
Cochlear Limited
The Naida CI sound processor is one part of a cochlear implant system that enables hearing. The other necessary parts of the system are the Implantable Cochlear Stimulator (ICS), headpiece and headpiece cable. The sound processor consists of two parts: the sound processor and battery power source. There are five battery options, including three sizes of Lithium Ion rechargeable PowerCelâ„¢ batteries and a Zn-Air Battery Pak
Measurements Size H x W x D in mm: Processor Only 26 x 9 x19
- with Off-the-Ear Adaptor 40 x 9 x 19
- with 110 mAh 49 x 9 x 19
- with 170 mAh 55x 9 x 19
- with 230 mAh 59 x 9 x 19
- with Zn-Air Battery Pak 53 x 9 x 19
$11,500.00
CO048 Cochlear™ Nucleus® CP810 Sound Processor - INITIAL
The ear level sound processor of the Nucleus 5 cochlear implant system with multiple wearing options and a remote control.
One size $11,500.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
CO069 Cochlear ™ Nucleus® CP910 Sound Processor (Initial)
CO071 Cochlear ™ Nucleus® CP920 Sound Processor (Initial)
The Cochlear Nucleus CP910 Sound Processor is a behind-the-ear sound processor two built-in directional microphones
The Cochlear Nucleus CP920 Sound Processor is a behind-the-ear sound processor with two built-in directional micophones.
There is only one size of the processing unit and coil.
There are two sizes for battery holder and
cover.
There is only one size of the processing unit and coil.
There are two sizes for battery holder and
cover.
$11,500.00
$11,500.00
US004 OPUS 2 Speech Processor Cochlear implant speech processor, fine
structure speech processing, remote control, interface for assistive listening devices according to the international hearing aid standard (initial patient kit)
54.0mm x 35.1mm x 8.7mm $11,500.00
US009 RONDO Audio Processor Single Unit audio processor for the MED-EL
Cochlear Implant System, integrating coil cable
& electronics package worn off the ear it is held in place by magnetic attraction
One size - 44.1mm (l) x 37.2mm (w) x 11.8mm (h)
$11,500.00
US013 SONNET Audio Processor (initial) Audio processor worn behind the ear with dual
omnidirectional microphone, water-resistance, datalogging, Automatic Sound Management, wireless connectivity to assistive listening devices
One size $11,500.00
Electroacoustic Cochlear Limited
Med-El Implant Systems Australasia Pty Ltd
US006 DUET 2 Audio Processor for Electric and Acoustic Stimulation (2nd Generation EAS)
50.6mm x 8.5mm x 59.7mm $12,950.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
US014 | SONNET EAS Audio Processor | Audio processor worn behind the ear with dual | One size | $12,950.00 | ||
| (initial) | omnidirectional microphone, water-resistance, |
| |||
|
| datalogging, Automatic Sound Management, |
| |||
|
| wireless connectivity to assistive listening |
| |||
|
| devices, electric and electric acoustic |
| |||
|
| stimulation modes |
| |||
2.1.2.2 - Replacement
Med-El Implant Systems Australasia Pty Ltd
US016 SONNET EAS Audio Processor
(replacement)
Generation 4
Audio processor worn behind the ear with dual omnidirectional microphones, water-resistance, data logging, Automatic Sound Management, wireless connectivity to assistive listening devices, electric and electric acoustic stimulation modes
One size $9,065.00
Advanced Bionics Australia Pty LtdBD009 | Harmony™ HiResolution® Bionic Ear System -Behind The Ear Sound Processor - Auria Harmony Sound Processor (REPLACEMENT Order) | The Auria Harmony Processor is an external component of the HiRes Bionic Ear System. This processor is intended to deliver HiResolution sound to a cochlear inplant by converting sound waves (received via a microphone) into an electrical signal which is then transmitted to the implant via a headpiece. This listing Processor only. | Sound Processor - one size 54 mm (H) x 13mm (TH) x 21 mm (W) | $8,050.00 |
BD015 | Neptune Sound Processor replacement part is the external part of the cochlear implant system. Also includes Neptune Connect | The Neptune Processor is an external component of the HiRes Bionic Ear System. The processor is intended to deliver HiResolution sound to a cochlear implant. Also includes Neptune Connect. | One size. Processor: H x W X D: 26 x 18 x 60mm Neptune Connect Size: H x W x D: 17 x 18 x 58mm | $8,050.00 |
Billing Code Product Name Description Size
Benefit
Benefit
Condition
BD018 Naida CI Q70 Sound Processor
(Replacement Order)
Cochlear Limited
The Naida CI sound processor is one part of a cochlear implant system that enables hearing. The other necessary parts of the system are the Implantable Cochlear Stimulator (ICS), headpiece and headpiece cable. The sound processor consists of two parts: the sound processor and the battery power source. There are five battery options, including three sizes of Lithium Ion rechargeable PowerCelâ„¢ batteries and a Zn-air Battery Pak - this listing is for processor only
Measurements Size H x W x D in mm Processor Only 26 x 9 x 19
$8,050.00
CO049 Cochlear™ Nucleus® CP810 Sound Processor - REPLACEMENT
CO070 Cochlear ™ Nucleus® CP910 Sound Processor (Replacement)
The ear level sound processor of the Nucleus 5 cochlear implant system with multiple wearing options and a remote control.
The Cochlear Nucleus CP910 Sound Processor is a behind-the-ear sound processor with two built-in directional microphones
One size $8,050.00
CO049 $8,050.00
CO072 Cochlear ™ Nucleus® CP920 Sound Processor (Replacement)
The Cochlear Nucleus CP920 Sound Processor is a behind-the-ear sound processor with two built-in directional microphones. It has no accessory port for cables.
There is only one size of the processing unit and coil.
There are two sizes for battery holder and cover.
$8,050.00
Med-El Implant Systems Australasia Pty LtdUS005 Opus 2 Speech Processor Replacement
Cochlear implant speech processor, fine structure speech processing, remote control, interface for assistive listening devices according to the international hearing aid standard (replacement kit)
54.0mm x 35.1mm x 8.7mm $8,050.00
US010 RONDO Audio Processor Replacement
Single unit audio processor for the MED-EL Cochlear Implant System, integrating coil, cable and electronics package, worn off the ear and is held in place by magnetic attraction.
One size - 44.1mm (l) x 37.2mm (w) x 11.8mm (h)
$8,050.00
US015 SONNET Audio Processor (Replacement)
Audio processor worn behind the ear with dual omnidirectional microphones, water-resistance, data logging, Automatic Sound Management, wireless connectivity to assistive listening devices
One size $8,050.00
Generation 4 Electroacoustic Cochlear Limited
Generation 4, Electroacoustic
Med-El Implant Systems Australasia Pty Ltd
US007 DUET 2 Replacement The DUET 2 speech processor adds hearing aid
processing, power and audio input. The DUET 2 directly amplifies the acoustic sound in the low frequencies of the OPUS2 Processor to the recipient. It is intended to evoke auditory sensations via electrical stimulation or via combined electro acoustic stimulation (EAS) of the auditory pathways for partially deaf individuals who obtain benefit from acoustic amplification in the lower frequencies only.
2.1.3 - Sound Processor Accessory Kit
Advanced Bionics Australia Pty Ltd
Dimensions: 50.6mm x 8.5mm x 59.7mm $9,065.00
BD010 | Harmony ™ HiResolution® Bionic Ear System - Behind the Ear Sound Processor Auria Harmony Essential Accessory Kit | 1x HPwcable; 1x direct connect earhook; 1x standard earhook; 1x audio cable; 1x monitor earphone. | various | $500.00 |
BD016 | Neptune Accessory Kit. Comprising: Listening Earphones, Audio Cable, Neptune Clip, Aquamic cable OR UHP cable, Aquamic headpiece OR UHP headpiece. | The essential accessories to support hearing through the Neptune Processor comprising: listening earphones, audio cable, Neptune Clip, Aquamic Cable OR UHP cable, AquaMic headpiece OR UHP headpiece. | Various sizes. AquaMic Physical properties: Dimensions: 40 x 35 x 14mm. UHP: Dimensions: 32mm diameter including color cap x 10mm. | $500.00 |
Advanced Bionics Australia Pty LtdBD019 Naida CI Q70 Accessory Kit Universal Headpiece (UHP), UHP cable and
either a T-Mic OR a battery (either PowerCel or Zn-Air battery Pack)
2.1.4 - Implantable Bone Conduction Hearing SystemAudmet Australia Pty Ltd trading as Oticon Medical
OI023 Ponto Sound Processor Fully programmable head worn sound
processor for bone conduction hearing systems
Cochlear Limited
Various, Further details:
UHP physical properties: Dimensions: 32mm diameter including colour cap x 10mm
Cables come in 9, 11, 14, 24 and 30cm lengths
Ponto: 34 x 21 x 11mm Ponto Pro: 34 x 21 x 11mm
Ponto Pro Power: 34 x 21 x 14mm
$500.00
$6,500.00
CO056 Cochlear™ Baha® BP110 sound
processor
Fully programmable head worn sound processor for the Baha implantable bone conduction hearing system
One size $6,500.00
Med-El Implant Systems Australasia Pty LtdUS002 Bonebridge - Amadé BB audio
processor
Medtronic Australasia Pty Ltd
The Amadé audio processor is an external part of the Bonebridge and connects to the implant through magnetic attraction. Fitting the Amadé audio processor activates the Bonebridge
29.1 mm (d), 8.8 mm (h), weight ≤ 8 grams $6,500.00
MI193 Sophono Alpha Bone Conduction
Hearing System, Sound Processor
Programmable, Wireless-enabled
Alpha Sound Processor - $6,500.00
OI029 Ponto Plus Sound Processor A wireless enabled - fully programmable head
worn sound processor for bone conduction hearing systems with full smart phone capabilities
Ponto Plus: 34 x 21 x 11mm
Ponto Plus Power: 34 x 21 x 14mm
$6,825.00
Cochlear LimitedCO073 Cochlear™ Baha® 4 Sound Processor The Cochlear Baha 4 Sound Processor is a
wireless-enabled, fully programmable head- worn digital sound processor for the Baha Implantable Bone Conduction Hearing System.
CO075 Cochlear Baha 5 Sound Processor The Cochlear Baha 5 Sound Processor (26,mm
x 19mm x12mm) is a wireless-enabled smartphone compatible fully programmable head-word digital sound processor for the Baha Implantable Bone Conduction Hearing System
One size. $6,825.00
One size (26mm x 19 mm x 12 mm) $6,825.00
CO076 Cochlear Baha 5 SuperPower Sound
Processor
CO077 Cochlear Baha 5 Power Sound
Processor
The Cochlear Baha 5 SuperPower sound processor is a powerful (up to 65dB HL) wireless-enabled, smartphone compatible, fully programmable, digital sound processor for the Baha Implantable Bone Conduction Hearing System. It is intended to be fitted as a head worn split system - it comprises a behind-the- ear (BTE) Sound Processing Unit, an Actuator unit, and a Cable between the BTE and the Actuator unit.
The Cochlear Baha 5 Power sound processor is a powerful (up to 55dB HL), wireless-enabled, smartphone compatible, fully programmable, digital sound processor for the Cochlear Baha 'Connect' and 'Attract' Implantable Bone Conduction Hearing Systems.
One size $6,825.00
One size $6,825.00
US017 Bonebridge Samba BB Audio
Processor
2.1.4.2 - Osseointegration
The Samba BB is a wireless enabled audio processor and the externally worn component of the Bonebridge System. It connects to the implant through magnetic attraction. Fitting the Samba BB audio processor activates the Bonebridge.
left and right versions, length = 35mm, width
= 30mm, height = 10mm, weight <9g (inc battery)
$6,825.00
OI025 Ponto Abutment Bone anchor abutment with connection screw Length: 6 - 14mm
Straight and angled
$895.00
Billing Code Product Name Description Size
Cochlear Limited
Benefit
Benefit
Condition
CO025 | Baha Abutment Snap Coupling | Titanium abutment delivered with a gold screw and holder, individually packaged and sterile. The 5/5mm is for standard use and the 8.5mm for patients that have persistent regrowth of subcutaneous tissue | 5.5mm - 9035, 8.5mm - 90410 | $895.00 |
CO050 | Baha BA210 Abutment | Titanium abutments compatible with hexagonal coupling Baha implants | 5.5mm and 8.5mm | $895.00 |
Abutment & Fixture
Audmet Australia Pty Ltd trading as Oticon Medical
OI026 | Ponto Abutment and Implant | Bone anchor implant and abutment with connection screw | Diameter: 3.75 - 4.5mm Length: Fixture 3 - 4mm, Abutment 6 -14mm | $1,930.00 |
| Cochlear Limited |
|
|
|
CO032 | Flange fixture - self tapping fixture with pre-mounted abutment | Self tapping titanium flange fixture with abutment in two sizes: 3mm and 4mm | Self Tapping 4mm and 3mm with BAHA Abutment | $1,930.00 |
Medtronic Australasia Pty Ltd
MI194 Sophono Alpha Bone Conduction
Hearing System, Implant
Abutment & Fixture, HA
Cochlear Limited
Alpha Implant - $1,930.00
CO063 Cochlear ™ Baha® BIA400 Implant with Abutment
Abutment, Concave Cochlear Limited
Pre-mounted self-tapping titanium implant with TiOblastâ„¢ surface and coated Abutment with hydroxyapatite (HA) coating for Baha FAST surgery
4mm implant with pre-mounted 6mm, 8mm, 10mm, or 12mm , or 14mm abutment
$2,197.00
CO052 Baha BA300 abutment. Titanium abutment of the Baha BI300 implant
system.
6 mm and 9 mm $936.00
Audmet Australia Pty Ltd trading as Oticon Medical
OI031 Ponto BHX Implant and Abutment A laser-ablated titanium surface implant using
Biohelixâ„¢ (BHX) and abutment with connection screw.
Diameter: 3.75 - 4.5mm Length: Fixture 3 - 4mm Abutment: 6 -14mm
$2,017.00
Billing Code Product Name Description Size
Abutment,Fixture, Concave, Cochlear Limited
Benefit
Benefit
Condition
CO053 Baha BIA300 implants with
abutments
Fixture
Self tapping titanium implant with pre-mounted
abutment of the Baha 3 system, for the Baha FAST surgery.
3mm implant with 6mm abutment, 4mm
implant with 6mm abutment, 4mm implant with 9mm abutment.
$2,017.00
OI024 Ponto Implant Bone anchor implant Diameter: 3.75 - 4.5mm Length: 3 - 4mm
$1,035.00
Audmet Australia Pty Ltd trading as Oticon Medical
OI030 Ponto BHX Implant A laser-ablated titanium surface implant using Biohelixâ„¢ (BHX).
Length: 3mm, 4mm $1,082.00
Cochlear Limited
CO051 Baha® BI300 Implant Titanium self-tapping implant with TiOblast
surface of the Baha 3 system
3mm and 4 mm $1,082.00
Cochlear Limited
CO062 Cochlear™ Baha® BA400
DermaLockâ„¢ Abutment
Titanium abutment with hydroxyapatite (HA) coating
6mm, 8mm, 10mm, 12mm, 14mm $1,115.00
Med-El Implant Systems Australasia Pty Ltd
US001 Bonebridge- Bone Conduction
Implant Kit
Lifts
Active bone conduction implant consisting of magnet, receiver coil, electronics package (demodulator), bendable transition to FMT, floating mass transducer
28.6 (w) x 69 (l) x 8.7 (h) mm $2,339.00
US011 Bonebridge BCI Lifts Implanted together with the Bonebridge BCI,
the BCI Lifts attach to the wings of the Bonebridge BCI to elevate the transducer
1mm, 2mm, 3mm, 4mm $206.00
Billing Code Product Name Description Size
Magnetic Coupling Cochlear Limited
Benefit
Benefit
Condition
CO068 Cochlear™ Baha® BIM400 Implant
Magnet
2.1.4.3 - Cover Screw
The Cochlear Baha BIM400 is an implantable
magnet that lies completely under the skin
One size $1,115.00
OI027 Ponto Healing Cap Cover screw One size only $142.00
OI028 Ponto Cover Screw Cover screw One size only $142.00
Cochlear LimitedCO028 BAHA - Cover screw unigrip Titanium cover screws, individually packaged
and delivered sterile. The cover screws are used to prevent bone overgrowth of the implant.
CO054 Baha Cover Screw conical Titanium cover screw of the Baha BI300
implant system used in the two-stage surgery.
Med-El Implant Systems Australasia Pty Ltd
One size only $142.00
One size $142.00
US003 Bonebridge - Cortical screws
(Bonebridge Surgical Tool Kit)
Titanium cortex screws have a length of 6mm and are self-tapping, providing fixation of the BCI implant to the bone through osseo- integration
6mm (length) x 2 - 2.4mm (outer edge) $142.00
02.01.05 - Ossicle/Middle Ear Prosthesis
ET072 Eclipse Piston Stapes: Nitinol, Fluroplastic Diameter 0.5mm: 3.75mm - 6.00mm $104.00
Medtronic Australasia Pty LtdMC918 The Big Easy Piston Big Easy Range - MRI Safe, Triple Width Platinum Band, Double Width Platinum Shaft with Offset Versions
0.4 - 1.17mm x 0.9 - 4.0mm x 4.0 x 10.2mm;
4.1 - 4.75mm
$104.00
MI079 Middle ear prostheses Stapes 0.4-1.17mm x 0.9-4.0 x 4.0 x4.0-10.2mm; 4.0 - 4.75mm
$104.00
OL012 Canal Wall Prosthesis Grote, HA Small - Large $104.00
OL014 Ossicular Prosthesis Attic Defect Plate, HA 7-14mm $104.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
OL018 | Piston: Stapes Prosthesis | a) Schuknecht Malleus att Piston. Stainless steel, b) Cawthorne. Fluoroplastic, c) Fluoroplastic, d) Schuknecht. Stainless steel, e) Causse. Fluoroplastic | a) 0.6x5.5mm-0.8x6.5, b) 0.3x0.8x3.5- 0.3x0.8x6mm, c) 0.6x0.6x3.5-0.8x0.6x6mm,
d) 0.4x3.5-0.5x5mm, e) one size only | $104.00 |
|
|
OL022 | Piston: Stapes Prosthesis | a) Armstrong. Platinum, b) McGee. Stainless steel, c) Richards. Teflon & platinum | a) 0.6x3.5-0.8x5mm, b) 0.6x3.25-0.8x5.5mm,
c) 0.4x4-0.4x5mm | $104.00 |
|
|
OL023 | Piston: Stapes Prosthesis | Fisch-Type Platinum or Stainless Steel | 0.4mm x 6mm | $104.00 |
|
|
OL024 | Piston: Stapes Prosthesis | Platinum Fluoroplastic | 0.6x3.5mm - 0.8x5mm | $104.00 |
|
|
OL025 | Piston: Stapes Prosthesis | Platinum Fluoroplastic | 0.6x3mm - 0.8x5.75mm | $104.00 |
|
|
OL075 | Piston: Stapes Prosthesis | Smart: Nitinol/Flouroplastic | 0.5, 0.6, 0.8 x 3.75-4.75mm | $104.00 |
|
|
Teleflex Medical AustraliaTX045 Stapes a) NiTiBOND
b) Soft CliP
c) K-Piston
d) Angular Piston
e) CliP Piston aWengen
f) CliP Piston MVP
g) Lenticle Cup
2.1.5.2 - Malleus
a) Diameter - 0.4 or 0.6mm in lengths - 3.5 to 5.5mm
b) Diameter - 0.4 or 0.6mm in lengths 3.5 to
5.5mm
c) Diameter - 0.4 or 0.6mm in lengths 3.5 to 10mm
d) Diameter 0.4 or 0.6mm in lengths 4.25, 4.5, 4.75mm
e) Diameter - 0.4mm or 0.6mm in lengths 3.5 to 5.5mm
f) Diameter 0.4 or 0.6mm in lengths - 5 to 6.25mm
g) lengths - 3 to 4.5mm
$104.00
MC919 Middle Ear Prosthesis Malleus 0.6 - 4.0mm x 2.7 - 5.0mm x 1.5 - 10.0mm $190.00
2.1.5.3 - Partial Ossicle Replacement (one or two)
Endotherapeutics Pty LtdET073 | Eclipse Malleus Piston | Malleus & Stapes: Nitinol, Fluoroplastic | Diamater 0.6mm: 5.5mm-8.00mm | $360.00 |
Medtronic Australasia Pty Ltd | ||||
MI076 | Middle Ear Prostheses | Partial Ossicular Reconstruction Implant - malleus + incus | 0.6-2.5 x 2.2-8.8 x 3.5 -10mm | $360.00 |
Billing Code Product Name Description Size
Olympus Australia
Benefit
Benefit
Condition
OL016 Ossicular Prosthesis - PORP Sheehy plastipore, Drum to stapes, Grote
Malleus to stapes, modified, centered or offcentered
One size only $360.00
OL017 Ossicular Prosthesis - PORP/TORP Goldenberg Malleable/HA One Size Only $360.00
Teleflex Medical AustraliaTX001 MatriX Stapes Prosthesis Diameters: 4mm, 5mm, 6mm
Lengths: 3.50mm, 3.75mm, 4.00mm, 4.25mm, 4.50mm, 4.75mm, 5.00mm, 5.25mm, 5.50mm.
TX002 NitiFlex Stapes Prosthesis Diameters: 4mm, 6mm
Lengths: 3.50mm, 3.75mm, 4.00mm, 4.25mm, 4.50mm, 4.75mm, 5.00mm, 5.50mm.
$360.00
$360.00
TX046 Partial Ossicle Replacement a) TTP Tuebingen Type bell
b) CliP Dresden Type
c) Malleus
d) Angular Plester
e) Angular CliP
f) TTP - Vario Bell TTP - Variac System,
Partial
g) CliP Partial FlexBAL
h) Duesseldorf Type Partial
KG014 ALTO Prosthesis Adjustable Length Titanium Ossicular Chain Reconstruction Prosthesis
a) length - 1.75 to 3.5mm
b) Length 1.75 to 3.5mm c) 1075 to 3.5mm
d) length 2.25 or 3.25mm
e) length 2.25 or 3.25mm
f) one size
g) lengths - 1.75 to 3.5mm
h) lengths - 1.75 to 4.5mm
Head Size 2.5mm x 3.5mm; Length 2.0mm - 8.0mm; Distal Diameter 0.8mm - 1.2mm
$360.00
$404.00
MI075 Middle Ear Prostheses Total Ossicular Reconstruction Implants 0.6-0.8mm x 3.0-4.0mm x 7.0-8.0mm $404.00
Olympus AustraliaOL013 Ossicular Prosthesis Malleus, Incus
and Stapes
Goldenberg Footplate - HA One size only $404.00
OL015 Ossicular Prosthesis Incus a) Applebaum HA, b) Goldenberg HA, c)
Kartusch HA , d) Grote HA, e) Wehrs (single & double notched) HA
a) small - large, b) one size only, c) short, medium, long, d) 7-10mm, e) short, average, medium, long
$404.00
OL019 Ossicular Prosthesis -TORP a) black spanner strut HA, b) black oval top
TORP HA, c) black oval top PORP, universal, HA/fluoroplastic
a) one size only, b) 7-10mm, c) 0.5-0.7mm $404.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
OL020 | Ossicular Prosthesis -TORP | Fisch plastipore, Causse modified plastipore, Shea modified plastipore/ fluoroplastic, Austin modified plastipore, Tilt top plastipore | One size only | $404.00 |
|
|
OL021 | Ossicular Prosthesis -TORP | a) Shea malleable, HA/plastipore, b) Shea plastipore | a) one size only, b) 4-8mm | $404.00 |
|
|
OL073 | Dornhoffer Prostheses | Hydroxyapetite head/HAPEX shaft PORP and TORP | 0.8mm Shaft Dia TORP, 1.3mm Shaft Diameter PORP | $404.00 |
|
|
OL074 | Ossicular Chain Prosthesis | Micron adjustable TORP/PORP. Titanium | 2-10mm, 2-5mm | $404.00 |
|
|
Teleflex Medical AustraliaTX047 Total Ossicle Replacement a) TTP Tuebingen Type Aerial Type
b) TTB-Vario Aerial
c) TTP Variac System Total
d) Malleus Notch Prosthesis
e) Regensburg Type Titanium Prosthesis
f) Malleus Replacement
g) Regensburg Type Total
h) Duesseldorf Type Total
02.01.06 - Ventilation Tube/Grommet
CoreMed Pty Ptd
a) Length - 3 to to 7mm
b) one size only
d) Length - 3 to 7mm
e) Length - 4 to 5mm
f) one size only
g) lengths - 4 to 5mm
h) lengths - 3 to 7mm
$404.00
RC002 | Ventilation tube | Ventilation tube - Silicone - T-tube, T-tube grommet | 1.1mm; 1.27mm lumen | $20.00 |
RC003 | Ventilation Tubes - Collar Button | Teflon, w/o wire | 1.10mm, 1.25mm, 1.50mm lumen | $20.00 |
RC004 | Ventilation Tubes - Collar Button | Teflon w/wire, and titanium w/o wire | 0.76mm, 1.00mm, 1.25mm, 1.50mm lumen | $20.00 |
RC006 | Ventilation Tubes - Shepherd | Teflon, w or w/o wire | 1.15mm lumen | $20.00 |
RC007 | Ventilation Tubes - Shepherd | Titanium, w/o wire | 1.00mm, 1.25mm lumen | $20.00 |
RC009 | Ventilation Tubes - Silicone | Armstrong Grommet, Donaldson w & w/o Tab, Paparella 1 and Paparella 2 (1.5mm) | 1.1mm & 1.5mm lumen | $20.00 |
Endocorp Pty LtdEC018 Exmoor Plastics Ear Vent Drains -
Reuter Bobbin
EC019 Exmoor Plastics Ear Vent Drains -
Collar Button
Without hole, teflon 1.14 mm lumen dia x 2.54 mm inner flange dia x 2.54 mm outer flange dia x 0.76 inter flange. 1.52mm total length
Teflon 1.14 mm lumen dia x 2.24 mm inner flange dia x 2.24 mm outer flange dia x 1.27 inter flange. 1.78 mm total length
$20.00
$20.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
EC020 Exmoor Plastics Ear Vent Drains -
Collar Button
EC021 Exmoor Plastics Ear Vent Drains -
Collar Button
EC022 Exmoor Plastics Ear Vent Drains -
Collar Button
EC024 Exmoor Plastics Ear Vent Drains -
Shepards Drain
EC026 Exmoor Plastics Ear Vent Drains -
Teflon Shephards Drain with wire grasping feature
EC031 Exmoor Plastics Ear Vent Drains - Donaldson Grommet
IntermedTeflon 1.14 mm lumen dia x 3.0 mm inner flange dia x 3.0 mm outer flange dia x 1.27 inter flange.
1.78 mm total length
Teflon 1.4 mm lumen dia x 2.55 mm inner flange dia x 2.55 mm outer flange dia x 0.85 inter flange.
1.35 mm total length
Teflon 1.75 mm lumen dia x 2.85 mm inner flange dia x 2.85 mm outer flange dia x 0.95 inter flange. 1.46 mm total length
Teflon Shephards Drain 1.14 mm lumen dia x 2.36 mm inner flange dia x 2.36 mm outer flange dia x 1.42 inter flange. 2.41 mm total length
Teflon Shephards Drain with wire 0.97 mm lumen dia x 2.08 mm inner flange
dia x 2.08 mm outer flange dia x 1.42 inter flange. 2.41 mm total length
With tab, silicone rubber 1.1 mm lumen dia x 2.25 mm inner flange dia x 2.25 mm outer flange dia x 0.76 inter flange.
2.25 mm total length
$20.00
$20.00
$20.00
$20.00
$20.00
$20.00
IR002 NeoZoline Otological Ventilation
Tubes
Armstrong, Collar Button, Shepard, Reuter, Donaldson, Paparella, Shah
1.10mm, 1.14mm, 1.27mm, 1.40mm, 0.76mm $20.00
MS057 NeoZoline Otological Ventilation
Tubes
Medtronic Australasia Pty Ltd
Armstrong, Collar Button, Shepard, Reuter, Donaldson, Paparella, Shah
1.10mm, 1.14mm, 1.27mm, 1.40mm, 0.76mm $20.00
MC268 Medtronic Vent Tubes Fluoroplastic 0.76 - 1.52mm x 2.1 - 9.5mm x 1.0 - 12.0mm $20.00
MC927 Medtronic Vent Tube . 1.02 - 1.52mm x 1.3 - 12.0mm $20.00 MI078 Medtronic Ventilation Tubes Medium to Long term vent tube             0.76-1.52mm x0.9-12.0mm             $20.00
MG037 Micromedics Ventilation Tubes Silicone and fluroplastic ventilation tubes Lumen size: 0.76mm, 1.0mm, 1.14mm,
1.27mm, 1.42mm
$20.00
| Olympus Australia |
| ||
OL027 | Ventilation Tube | Shepard grommet, fluoroplastic or silicon, vent tube w/wire. | 1.02 -1.14mm | $20.00 |
OL028 | Ventilation Tube | Shepard, fluoroplastic, w/Tab & wire | 1.02 -1.14mm | $20.00 |
OL032 | Ventilation Tube | T-Tube Richards Modified Soft Silicon | 1.32mm | $20.00 |
Billing Code Product Name Description Size
Benefit
Benefit
Condition
OL035 Ventilation Tube Grommet - Sha Mini. Teflon 0.76mm $20.00
OL036 Ventilation Tube Shah. Teflon, Silicon 5.1mm $20.00
OL037 Ventilation Tube Shah. Teflon, Fluorplastic w/Wire 1.14mm $20.00
OL038 Ventilation Tube Shah. Teflon, Fluorplastic without Wire 1.14mm $20.00
OL039 Ventilation Tube Armstrong Beveled Plain End Fluoroplastic One size only $20.00
OL040 Ventilation Tube Armstrong Beveled Plain End Silcon One size only $20.00
OL041 Ventilation Tube Bobbin - Reuter Stainless Steel 1mm $20.00 OL042 Ventilation Tube Bobbin - Reuter Stainless Steel             Without Wire 1.14-1.27mm, w/wire 1mm             $20.00
OL043 Ventilation Tube Bobbin - Reuter Fluoroplastic 1mm I.F Without Holes
OL044 Ventilation Tube Bobbin - Reuter Fluoroplastic 1mm I.F Without Holes
1mm $20.00
1.14mm $20.00
OL045 Ventilation Tube Bobbin - Reuter Fluoroplastic 1mm I.F w/wire 1.14mm $20.00
OL046 Ventilation Tube Bobbin - Reuter Fluoroplastic 1mm I.F 1.14mm $20.00
OL047 Ventilation Tube Bobbin - Reuter Fluoroplastic 0.5mm I.F 1.27mm $20.00
OL048 Ventilation Tube Collar Bobbin Fluoroplastic 1.27mm $20.00
OL049 Ventilation Tube Collar Bobbin Fluoroplastic 0.75mm $20.00
OL050 Ventilation Tube Collar Bobbin Fluoroplastic 1.14mm $20.00
OL051 Ventilation Tube Collar Bobbin Fluoroplastic 1.27x0.5mm $20.00
OL053 Ventilation Tube Collar Button Fluoroplastic Blue 1.27mm $20.00
OL054 Ventilation Tube Collar Button Fluoroplastic w/Wire 1.27mm $20.00
OL055 Ventilation Tube Collar Button Silicon 1.27mm $20.00
OL056 Ventilation Tube Collar Button Titanium 1.14mm $20.00
OL057 Ventilation Tube Collar Button Titanium 1.27mm $20.00
OL058 Ventilation Tube Donaldson Silicon 1.14mm $20.00
OL059 Ventilation Tube Donaldson Soft Silicon 1.14mm $20.00
OL060 Ventilation Tube Donaldson Silicon w/Tab 1.14mm $20.00
OL061 Ventilation Tube Donaldson Fluoroplastic 1.14mm $20.00
OL063 Ventilation Tube Duravent Silicon 1.27mm $20.00
OL066 Ventilation Tube Shea w/Tab - Silicone 0.76mm $20.00
OL067 Ventilation Tube Shea Parasol w/Tab Small Flange - Silicone 1.02mm $20.00
OL068 Ventilation Tube Shea Parasol w/Tab - Silicone 1.02mm $20.00
OL069 Ventilation Tube Shea Parasol w/Tab - Silicone 1.52mm $20.00
OL070 Ventilation Tube Straight Fluoroplastic or Polyethylene 0.89 x 12mm, 0.86 x 7mm, 1.14 x 12mm, 1.14
x 7mm
$20.00
Antibiotic
Medtronic Australasia Pty Ltd
MC269 Medtronic Vent Tubes Activent Antimicrobial Ventilation Tube 1.02 - 1.27mm x 0.9 - 2.4mm $22.00 MI077 Medtronic Ventilation Tube Medium to long term, antimicrobial vent tube             1.02 - 1.52mm x 1.3-12.0mm             $22.00
OL029 Ventilation Tube Shepard, Ultrasil Silicon & Blue Poly 1.02 - 1.14mm $22.00
OL030 Ventilation Tube T-Tube Richards Silicon, Soft Silicon, Ultrasil 1.14mm $22.00
OL031 Ventilation Tube T-Tube Richards Modified Silicon & Ultrasil 1.32mm $22.00 OL033 Ventilation Tube Butterfly T-Tube Silicon & Ultrasil             Silicon - one size only. Ultrasil - one size only.             $22.00
OL034 Ventilation Tube Armstrong Beveled Grommet Ultrasil Silicon w/Tab
1.14mm $22.00
OL052 Ventilation Tube Collar Button Ultrasil Silicon 1.27mm $22.00
OL062 Ventilation Tube Donaldson Ultrasil Silicon 1.14mm $22.00
OL064 Ventilation Tube Duravent Blue Ultrasil 1.27mm $22.00
OL065 Ventilation Tube Paparella w/tab Fluoroplastic, Silicon, Soft Silicon, Ultrasil
1.02 - 2.03mm $22.00
ATOS MEDICAL PTY LIMITEDA2004 | Ventilation Tubes / Grommet | a) Tubingen Gold Type | a) I.D. 1.25mm w/w, I.D.1.25mm wo/w, I.D. | $20.00 |
|
| b) Tubingen Titanium Type | 1.5mm wo/w |
|
|
| c) T Tube | b) one size only |
|
|
| d) Reuter Bobbin Type | c) L- 6, 7.5, 12 |
|
|
| e) Paparella Type | d) I.F.O.D 2.5mm, 2.7mm |
|
|
| f) Collar Button Type | e) one size only |
|
|
| g) Star Tube | f) one side only |
|
|
| h) Bevel Buttton Tube | g) one size only |
|
|
| i) Straight Tube | h) one size only |
|
|
| j) Armstrong Type | i) i.d.-0.9mm,1.1mm,1.15mm |
|
|
| k) Shepard Type | j) L-3.8mm, 3.7mm, 10mm |
|
|
| l) Donaldson Type | k) L- 2.2mm w/t, 2.2mm wo/t,2.4mm w/t |
|
|
| m) Angular Type | l) S- one size only, F one size only |
|
|
| n) Myringotomy Tube with Trocar | m) one size only |
|
|
| o) Ventilation Tubes with Eyelets | n) Silver or Titanium |
|
|
| p) Minimal Type | o) one or two |
|
|
|
| p) one size only |
|
ET076 | Endotherapeutics Pty Ltd Triune Vent Tube |
A tympanostomy (myringotomy) tube |
Lumen size 0.76mm - 1.35mm |
$20.00 |
02.01.07 - Bone Cement
Endotherapeutics Pty Ltd
ET031 | Serenocem Cement | Reaction bonded polymer composite formed by the neutralisation gelletation of a basic inorganic ionomer | One size only - box of 2 | $1,560.00 |
ET032 | Serenocem Granules | Reaction bonded polymer composite formed by the neutralisation gelletation of a basic inorganic ionomer | 0.5 - 1mm granules, 1gm or 5gm; 2 - 3mm granules, 1gm or 5gm - 3 pouches | $1,560.00 |
2.2.1 - Septal Button
Medtronic Australasia Pty Ltd
MC264 Septal Button Silicone 3cm $149.00
Olympus AustraliaOL026 Septal Button Plastipore One size only $149.00
2.2.2 - Nasal Valve Stent
MI151 ALAR Nasal Valve Stent Nasal valve stent for repair of nasal vestibular
stenosis and nasal valve collapse.
2.3.1 - Tracheal Speaking Valve
20mm long x 16mm wide $190.00
A2002 Tracheal Speaking Valve 1. Passy -Muir - a) Purple b) Clear c) Aqua
2. Provox - a) Two b) Vega c) Vega Puncture Set
2.3.2 - Vocal Chord Medialisation Implant
IG143 Silicone Blocks Netterville Phonoform Block - Right, Left, Wedge & Strip
1. One size only
2. a) 4.5, 6, 8, 10, 12.5, 15mm
b) 17, 20, 22.5Fr in 4, 6, 8, 10, 12.5, 15mm
c) 17, 20, 22.5Fr in 8, 10, 12.5, 15mm
Right - One size only, Left - One size only, Wedge - One size only & Strip - One size only
$102.00
$275.00
OL071 Vocal Cord Medialisation Implant Vocom Larynx Medial Implant -
Hydroxylapatite
OL072 Vocal Cord Medialisation Implant Vocom Shim for Medial Implant -
Hydroxylapatite
3 - 7mm Head $275.00
1mm - 3mm Offset $275.00
A2001 Vocal Chord Medialisation Implant Montgomery Laryngeal Keel 12, 14, 16 - Clear and Radiopaque $275.00
Billing Code Product Name Description Size
2.3.3 - Tracheal Stents
Benefit
Benefit
Condition
Nitinol
Medical Vision Australia Cardiology Thoracic Pty Ltd
MY002 Tracheobronxane Silmet Nitinol wire - tracheal and bronchial stents -
Dumon
12 - 20mm diameter, 20 - 90mm length $2,500.00
Silicone
Medical Vision Australia Cardiology Thoracic Pty Ltd
MY001 Endoxane Silicone tracheal and bronchial stents - Dumon 10 - 20mm diameter, 20 - 60mm length $1,000.00
2.3.4 - Thyroplasty
A2005 Thyroplasty Montgomery Thyroplasty Implant System male - 8,9,10,11,12,13 female - 6,7,8,9,10
$1,172.00
ATOS MEDICAL PTY LIMITED
A2006 Extra-tracheal Cannula a) Montgomery Short-Term Cannula
b) Montgomery Long-Term Cannula
a) 4, 6, 8, 10 b) 4, 6, 8, 10 for Stoma Sizes 17-
25, 25-33, 33-41, 41-49, 49-57, 57-65mm
$298.00
Billing Code Product Name Description Size
Intra-tracheal
ATOS MEDICAL PTY LIMITED
Benefit
Benefit
Condition
A2003 Intra-tracheal Cannula Montgomery Safe-T-Tubes Clear and Radiopaque except c)
a) Paediatric
b) Standard
c) Hebeler
d) Thoracic
e) Extra-Long
f) Tapered
g) Montgomery Salivary Bypass Tube
h) Har-el Pharyngeal Tube
i) Montgomery Esophageal Tube
j) Trachael Fenestrator
k) Moore Trache
a) 6, 7, 8, 9
b) 10, 11, 12, 13, 14. 15, 16
c) 12, 15, 18
d) 10, 11, 12, 13, 14, 15, 16
e) 10, 11, 12, 13, 14, 15, 16 f) 8/10, 10/13
g) 8, 10, 12, 14, 16, 18, 20
h) one size only
i) one size only
j) size 6, 8 and 10
k) size 6 and 8
$471.00
ET040 Vox Implants Vox Implants are solid, irregularly textured, medical grade Polydimethylsiloxane Elastomer implants suspended in a hydrogel carrier
One size only $8,200.00
Billing Code Product Name Description Size
3.1.1 - Hepatic, Yttrium 90, Standard Dose
Benefit
Benefit
Condition
Sirtex Medical Products
SE001 SIR-Spheres including Delivery
Apparatus
3.1.2 - Prostatic I-125
Biocompatible microspheres 20-60mm (microns) in diameter containing yttrium-90. Delivery apparatus is PVC tubing, ABS stopcocks, acrylic holders and stainless steel needles with PE hubs
One size only $8,230.00
CL001 Advantage I-125 Pre-load Advantage I-125 Pre-load consists of stranded
Advantage I-125 seeds pre-loaded on prescription into brachytherapy needles specifically for treatment of an individual patient. They arrive sterile and pre-packaged ready for use in theatre
CL002 Advantage I-125 Seed Advantage I-125 seeds are sealed radioactive
sources containing Iodine-125 for interstitial brachytherapy
Stranded seeds are pre-loaded in brachytherapy needles in a prescribed configuration; up to 120 seeds
3mm x 0.5mm silver rod within 4.5 x 0.8mm sealed titanium capsule, up to 120 seeds
$6,500.00
$6,500.00
BA252 BrachySource® I-125 Implant BrachySource® Seeds supplied either loose, in
Cartridges or needles or as a calibration source. Up to 120 seeds per patient.
BA253 ReadyLink® Implant BrachySource® Seed Implants in the ReadyLink® Delivery System. Up to 120 seeds per patient.
Seeds are a 4.5mm x 0.8mm welded titanium capsule.
Seeds are 4.5mm x 0.8mm welded titanium capsule preconnected in user defined trains.
$6,500.00
$6,500.00
BZ001 Prescription Loaded A-Strand with A- Seed AgX100 I-125 Seeds
The BXTAccelyon Prescription Preloaded A- Strand consists of I-125 seeds and spacers custom loaded into brachytherapy needles.
One representation with a loading of up to 100 seeds
$6,500.00
Billing Code Product Name Description Size
Emergo Asia Pacific Pty Ltd
Benefit
Benefit
Condition
ER145 TheraStrand Rx with AgX100
Brachytherapy Kit
ER146 I-Seed AgX100 Cartridge Brachytherapy Kit
GE Healthcare
The TheraStrand RX brachytherapy kit is prescription-loaded and supplied sterile. The prescription generally comprises 25 needles containing the brachytherapy I-125 sources (80- 100 seeds) sequenced per the physician's treatment plan. All sources are of the same activity/strength.
The I-Seed AgX100 Cartridge brachytherapy kit comprises 8 or fewer cartridges (max. 20 seed) in a vertical seed magazine, VSM20. The kit is supplied sterile and is compatible with the Mick applicator.
The seed includes a silver rod with I 125 contained in a sealed titanium capsule of 4.5 mm length and 0.8 mm in diameter.
The I-Seed AgX100 Cartridge Brachytherapy Kit generally contains 8 or fewer cartridges, each a max. 20 seeds, a total of 80-100 seeds. Each seed comprises a silver rod with the source within 4.5 x 0.8mm sealed titanium capsule.
$6,500.00
$6,500.00
GC001 Iodine 125 - 'Rapid Strand'
Brachytherapy Implant, Iodine 125 - 'OncoSeeds' Brachytherapy Implant
Rapid Strand consists of 10 welded titanium capsules containing iodine-125 absorbed onto a silver rod. OncoSeeds consists of the loose seeds only. Per Patient up to 120 seeds.
One size each $6,500.00
GC004 RAPID Strand Rxâ„¢ Pre-loaded, variable per patient prescription version of RAPID Strand. Price as shown is for up to 100 seeds.
MD Solutions Australasia Pty LtdMB001 Vari-Strand Vari-Strand consists of variable stranded seed configurations in pre-loaded needles for the purpose of delivering radioactive seeds for the treatment of prostate cancer. Varistrand Multiple is delivered in a sterilized tray opened in the operating theatre
CL003 Advantage I-125 Seed The Advantage I-125 seed is a sealed radioactive source containing Iodine-125 for interstitial brachytherapy
The number of seeds per needle, the spacing between seeds (suture length) and number of needles required is customised per patient. Seed size is standard as is the needle gauge
Variable (individually prescribed) stranded seed configurations in pre-loaded needles delivered in a sterilized tray.
3mm x 0.5mm silver rod within 4.5 x 0.8mm sealed titanium capsule
$6,500.00
$6,500.00
$82.00
Billing Code Product Name Description Size
Bard Australia Pty Ltd
Benefit
Benefit
Condition
BA251 BrachySource® I-125 seeds Single BrachySource® Seeds supplied either
loose, in Cartridges or needles or as a calibration source. To be used only if more than 120 seeds are used per patient.
Seeds are a 4.5mm x 0.8mm welded titanium capsule.
$82.00
BZ002 A-Seed AgX100 I-125 Seeds
Preloaded A-Strand
GE Healthcare
BXTAccelyon AgX100 I-125 Seeds pre- loaded. The billing code is to be applied only if more than 100 seeds are used per patient. Benefit is per seed.
One representation with a loading of more than 100 seeds. The seed includes a silver rod with I 125 contained in a sealed titanium capsule of 4.5 mm length and 0.8 mm in diameter
$82.00
GC002 Iodine 125 - Rapid Strand Brachytherapy Implant; OncoSeeds Brachytherapy Implant
I-125 Rapid Strand, code IMC 7000, consists of 10 welded titanium capsules containing iodine 125. This assembly is sterile, the activity of the capsules "seeds" is available from 0.18mCi to 0.70mCi. Individual I-125 capsules (seeds) are also available as OncoSeeds IMC6711. To be used only if more than 120 seeds are used per patient.
One size only $82.00
GC003 RAPID Strand Rx Seeds I-125 RAPID Strand Rx, pre-loaded titanium
capsules containing iodine 125. To be used only if more than 100 seeds are used per patient. Benefit is per seed.
MD Solutions Australasia Pty Ltd
Custom $82.00
MB002 Vari-Strand Vari-Strand consists of a single stranded seed in a pre-loaded needle for the purpose of delivering a radioactive seed for the treatment of prostate cancer.
Varistrand Single is delivered in a sterilized tray.
Single (individually prescribed) seed in a pre- loaded needle delivered in a sterilized tray.
$82.00
NU001 selectSeed Nucletron selectSeed Model # 130002 consists of cylindrical silver rod, coated with radioactive Iodine-125 layer. Active silver rod is encapsulated in hollow titanium tube. Laser welding, using spherical shaped end welds, seals the tube.
One size only $82.00
Billing Code Product Name Description Size
RQSolutions Medical Devices Distribution Support
Benefit
Benefit
Condition
RQ076 Theragenics C20 IsoLoader
Magazines in TPSII Individual - 20 seeds per magazine - sterile
The C20 IsoLoader cartridge is a shielded cartridge holding up to 20 I125 seeds, supplied in accordance with the surgeon's requirements. Benefit is per seed.
1 representation in a delivery magazine with a loading of up to 20 seeds
$82.00
3.1.3 - Tissue Expander/Separator, Gel
MB025 TraceIT Gel System TraceIT System is intended to create a temporary space within soft tissue during radiation therapy.
3mL $950.00
MB017 | SpaceOAR System | The SpaceOAR System consists of components for preparation of a synthetic, absorbable hydrogel spacer and a delivery mechanism packaged in a single kit. The hydrogel spacer creates a temporary space between the prostate and rectum during radiation therapy. | 10CC | $1,950.00 |
MB024 | TraceIT Gel System | TraceIT System is intended to create a temporary space within soft tissue during radiation therapy. | 10mL | $1,950.00 |
3.2.1 - Infusion Ports
3.2.1.1 - Single Lumen
B Braun Australia Pty Ltd
BB082 Celsite Epoxy Single Access Port Epoxy/titanium Standard/small/baby $485.00
BB084 Celsite Single Access Port MBS/PSU Standard/small $485.00
BB086 Celsite Epoxy Peritoneal Port Epoxy/titanium 32x27x13mm $485.00
Covidien Pty LtdAS052 Chemosite Implantable Venous Access System
Port - Single Lumen (ChemoSite*) 7-9 french; 10.5 french. $485.00
Billing Code Product Name Description Size
Smiths Medical Australasia Pty Ltd
Benefit
Benefit
Condition
SI001 Injection/Infusion Ports, Sterile -
PORT-A-CATH II Trans Arterial Percuataneous System
SI003 Injection/Infusion Ports, Sterile -
PORT-A-CATH P.A.S Port T2
System
SI005 Injection/Infusion Ports, Sterile -
PORT-A-CATH Peritoneal System
SI007 Injection/Infusion Ports, Sterile -
PORT-A-CATH Arterial Titanium System
Port - single lumen One size only $485.00
Port - single lumen 1.9 mm O.D. PolyFlow Polyurethane Catheter $485.00
Port - single lumen One size only $485.00
Port - single lumen 2.3 mm silicone catheter $485.00
SI008 Porth-A-Cath Power P.A.C Titanium Implantable Venous Access Device
Single Lumen Portal & Single Lumen Low Profile Portal
6 & 8 Fr, 2.6mm & 1.9mm (OD), 1.6mm & 1.0mm (ID), 76cm (Length)
$485.00
SI010 Injection/Infusion Ports, Sterile -
PORT-A-CATH Implantable Access System - Venous Portal, with introducer set
SI012 Injection/Infusion Ports, Sterile -
PORT-A-CATH Low Profile Implantable Venous System, with introducer set
SI014 Injection/Infusion Ports, Sterile -
PORT-A-CATH II Titanium Venous System, with introducer set
SI016 Injection/Infusion Ports, Sterile -
PORT-A-CATH II Titanium Venous System with introducer set
Port - single lumen 1.9mm polyurethane catheter $485.00
Port - single lumen 1.9 mm polyurethane catheter $485.00
Port - single lumen 2.8 mm silicone catheter $485.00
Port - single lumen 1.9 mm polyurethane catheter $485.00
SI017 Port-A-Cath II Power P.A.C Polysulfone/Titanium Implantable Venous Access Device
Single Lumen Portal, Single Lumen Low Profile Portal, Single Lumen Portal Preassembled, Single Lumen Preassembled, Single Lumen Low Profile Portal Preassembled
6 & 8 Fr, 1.9mm & 2.6mm (OD), 1.0 & 1.6mm (ID), 76cm (Length)
$485.00
SI019 Injection/Infusion Ports, Sterile -
PORT-A-CATH II Low Profile Titanium Venous System with introducer set
SI020 Injection/Infusion Ports, Sterile -
PORT-A-CATH II Epidural Low Profile System
Port - single lumen 1.9 mm polyurethane catheter $485.00
Port - single lumen 1.2 mm O.D. polyurethane catheter $485.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
SI021 | Injection/Infusion Ports, Sterile - PORT-A-CATH II Intraspinal Low Profile System | Port - single lumen | 0.9 mm O.D. polyurethane catheter | $485.00 |
|
|
3.2.1.2 - Multiple Lumen
BB083 Celsite Epoxy Dual Access Port Epoxy/titanium Standard/small/baby $615.00
Smiths Medical Australasia Pty LtdSI023 Injection/Infusion Ports, Sterile -
PORT-A-CATH II Dual Lumen Titanium Venous system and introducer set
Port - dual lumen 3.4 mm silicone catheter $615.00
BB349 Easypump Disposable Elastomeric infusion pump system LT: Filling Volume: 60ml - 400ml, Flow Rate:
0.5ml/h - 10ml/h
ST: Filling Volume: 50ml - 500ml, Flow Rate: 50ml/h - 500ml/h
$85.00
BX247 Intermate Sterile infusor devices, elastomeric driven SV 200 - 200ml/hr, nominal 100ml vol. max 105 mL. SV 100 - 100ml/hr, nominal 100ml vol. max 105 mL. LV 250, 250ml/hr, 275ml vol. SV 50 - 50ml/hr, nominal 100ml vol. max 105mL. LV 100 - 100ml/hr, 275ml vol. LV 50, 50ml/hr, 275ml vol
$85.00
BX281 Baxter Folfusor Sterile infusor devices, elastomeric driven.
Folfusor SV 0.5mL/hr 120mL (Baxter Code 2C4700K), Folfusor SV 2.5mL/hr 120mL (Baxter Code 2C4711K), Folfusor SV 5mL/hr 120mL (Baxter Code 2C4705K). The Baxter Folfusor is a disposable infusion pump used in an ambulatory setting for the continuous infusion of intravenous medications. The codes listed above represent three separate flow rates specific to Chemotherapy protocols.
120mL Maximum Volume $85.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
BX287 Intermate XLV 250 Sterile infusor devices, elastomeric driven.
The Intermate XLV 250 is an ambulatory device utilising elastomeric technology to deliver continuous infusion of parenteral therapy to patients in an ambulatory setting. The device is specifically suitable for patients requiring intravenous immunoglobulin therapy. The nominal flow rate of the Intermate XLV 250 is 250mL/hr, however when used for the administration of IVIG the flow rate is reduced to approximately 120mL/hr.
Volume 500mL. Approximate infusion time for IVIG solutions is 4.2 hrs.
$85.00
BX327 Infusor Sterile Infusor Devices, Elastomeric Driven LV 10, 10ml/hr, 240ml vol LV 5, 5ml/hr, 240ml vol
BX328 Infusor Sterile Infusor Devices, Elastomeric Driven LV 2, 2ml/hr, 275 ml vol; LV 1.5, 1.5ml/hr, 275 ml vol.
$85.00
$85.00
CJ010 AutoFuser S Continuous Continuous flow rate ambulatory silicone
balloon infusion pump
Volume 60ml, 100ml, 150ml, 275ml, 400ml, 550ml
$85.00
RN005 Easyfuser Elastomeric balloon driven, ambulatory infusion pump with fixed infusion rate. Short, fast infusion from 30 minutes to 2 hours, commonly used for a short antibiotic infusion and IV Vitamin Infusion therapy
RN006 Surefuser+ Fixed Flow Elastomeric balloon driven, ambulatory
infusion pump with a variety fixed infusion rates.
50ml, 100ml, 250ml $85.00
50ml, 100ml, 250ml $85.00
MobiLIFE Pty Ltd
LF001 mobiFUSER Disposable sterile non electronic elastomeric infusion device. Variable flow rates available. For continuous fluid/medication delivery
Maximum Capacity 275ml $84.00
Billing Code Product Name Description Size
Set
Benefit
Benefit
Condition
Admedus (Australia) Pty Ltd
AH006 DOSI-FUSER Non electronic, elastomeric balloon driven, ambulatory infusion pump, which can be supplied in a variety of volumes and flow rates to meet different clinical applications. Its primary purpose is for continuous delivery of fluids/medications.
AH014 DOSI-PAIN Kit The DOSI-PAIN® Kit is a complete pain kit for the administraton of analgesics required for post operative pain relief. The The DOSI- PAIN® Kit contains the DosiFuser elastomeric pump (already registered on the prosthesis listing), a wound catheter and a BD Plastipack syringe. The The DOSI-PAIN® Kit is designed to provide drug infusion at a constant flow without impeding patient mobility. It is indicated for Chemotherapy, antiviral treatments, administration of antibiotics, pain treatments, Aids treatments and immunosuppressants; continuous ambulatory infusion of anaesthetics, anti-emetic drugs, heparin, etc.; continuous ambulatory arterial or intravenous infusion of antibiotics, cytostatic drugs, etc.The DOSI-PAIN® Kit offers a wide range of flow rates.
65ml - 140mm x 45mm x 40mm; 100ml - 140mm x 52mm x 50mm; 150 - 140mm x 55mm x 55mm; 250ml - 140mm x 60mm x 60mm; 400ml, 500ml, 600ml
65ml - 140mm x 45mm x 40mm; 100ml - 140mm x 52mm x 50mm; 150ml - 140mm x 55mm x 55mm; 250ml - 140mm x 60mm x 60mm
$260.00
$260.00
CJ001 AutoFuser Continuous Continuous flow rate ambulatory and disposable silicone balloon infusion pump
Fresenius Kabi Australia Pty Ltd
Volume 60ml, 100ml, 150ml, 275ml, 400ml, 550ml
$260.00
FK001 Accufuser Continuous Continuous flow rate ambulatory and disposable silicone balloon infusion pump
Volume 60ml, 100ml, 300ml, 600ml $260.00
| Orthocare Pty Limited |
| ||
OC016 | Advanced Infusion | ALPHA 200ml Capacity Infusion Pump | 140 x 80 x 30 mm | $260.00 |
OC017 | Advanced Infusion | ALPHA 450ml Capacity Infusion Pump | 180 x 100 x 45 mm | $260.00 |
Surgical SpecialtiesSQ030 PainBuster Kit includes catheter, introducer needle, flow restrictor, filter, bolus
270ml volume x 2 lines x 2 ml per hour; 270ml x 2ml, 5ml bolus
$260.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
SQ031 PainBuster Kit includes catheter, introducer needle, flow restrictor, filter
SQ032 PainBuster Kit includes catheter, introducer needle, flow restrictor, filter
SQ033 PainBuster Kit includes catheter, introducer needle, flow restrictor, filter
100ml volume x 2 ml per hour $260.00
270ml volume x 2 ml per hour $260.00
270ml volume x 5 ml per hour $260.00
SQ034 Painbuster Kit includes catheter, introducer needle, flow restrictor, filter
270ml x 4ml/hr, dual; 400ml x 4ml per hour, dual
$260.00
SQ036 Painbuster C bloc Continuous Nerve Block kit - provides continual flow of local anaesthetic near a nerve
100-400ml $260.00
RN004 Surefuser+ Elastomeric balloon driven, ambulatory infusion pump with variable infusion rate
100ml, 250ml $165.00
Baxter Healthcare Pty Ltd
BX249 | Multirate with PCM | Sterile infusor devices, elastomeric driven | Multirate 5, 7 or 12 ml/hr with PCM | $450.00 |
BX330 | Basal Bolus Infusor | Sterile Infusor Devices, Balloon based | Basal/Bolus 60, Basal 0.5ml/hr, Bolus 0.5 x | $450.00 |
| 65ml |
| ||
Basal/Bolus 15, Basal 0.5ml/hr, Bolus 2ml/hr |
| |||
x 65ml |
| |||
Basal/Bolus infusor, Basal 2ml/hr, Bolus |
| |||
2ml/hr x 65ml |
| |||
ClaveGuard Pty Ltd
CJ003 AutoSelector + PCM Button, AutoFuser + PCM Button
Ambulatory and disposable silicone balloon infusion pump with bolus function
Volume 60ml, 100ml, 150ml, 275ml, 400ml, 550ml,
$450.00
FK003 Accufuser Plus, Accufuser EasyBolus, Accufuser Omnibus
Surgical Specialties
Ambulatory and disposable silicone balloon infusion pump with bolus function
Volume 60ml, 100ml, 300ml, 600ml $450.00
SQ037 Painbuster C Bloc Continuous Nerve Block Kit -provides continual flow of local anaesthetic near a nerve, with options of variable flow rate, bolus or dual flow.
270-600ml $450.00
Billing Code Product Name Description Size
Set
Benefit
Benefit
Condition
Admedus (Australia) Pty Ltd
AH009 DOSI-FUSER PCA Infusion System Designed to provide drug infusion at a constant
rate. Facilitates the ability for a clinician to allow the patient to initiate a controlled bolus with a set lock out period. Bolus reservoir sizes of 0.5ml and 2ml are available with lock-out times of 15, 30, 60 and 80 minutes.
AH012 DOSI-FUSER Multiflow System Elastomeric pump providing drug infusion at a
constant flow. Facilitates the ability for a clinician to adjust the infusion rate of the contents of the infuser. Offers a wide range of flow rates from 1ml/h to 7ml/h in steps of 1ml/h, and from 2ml/h to 14ml/h in steps of 2ml/h.
65ml, 100ml, and 250ml $280.00
65ml, 100ml, 150ml, and 250ml. $375.00
BX331 Multi Infusors Sterile Infusor Devices, Elastomeric Driven Multirate 5, 7 or 12ml/hr x 300ml
Multirate 2, 4 or 6 ml/hr x 300ml
Multirate 2, 3, 5ml
Multirate 1, 2, 3ml
$375.00
CJ002 AutoSelector Variable flow rate ambulatory and disposable silicone balloon infusion pump
Volume 60ml, 100ml, 150ml, 275ml, 400ml, 550ml
$375.00
FK002 Accufuser Selectus, Accufuser
Varicon
Ambulatory and disposable silicone balloon infusion pump
Volume 60ml, 100ml, 300ml, 600ml $375.00
SQ035 Painbuster Kit includes catheter, introducer needle, flow restrictor, filter, 2 - 14ml/hour
270ml - 400ml $375.00
Billing Code Product Name Description Size
3.2.3 - Infusion Pumps, Battery Powered
3.2.3.4 - Other Pharmacology
Benefit
Benefit
Condition
Admedus (Australia) Pty Ltd
AH004 ambIT Infusion Pump The ambIT Reusable Infusion Pump is an
external programmable electronic ambulatory infusion pump used for the delivery of fluid and medications via intravenous, epidural, subcutaneous or regional routes. It can be programmed with different delivery profiles which include basal rate/continuous only, basal rate with PCA (Patient Controlled Analgesia), PCA Bolus Only or Intermittent Bolus Dose (PIB). It is operated in conjunction with a ambIT disposable administration cassette
AmbIT Single use Pump - 55mm x 36mm x 175mm
AmbIT Single use administration cassette -
20mm x 10mm x 15mm
$4,950.00
CJ011 AutoMed Infusion Pump - 3300, 3400 Ambulatory infusion pump One size only $4,950.00
Fresenius Kabi Australia Pty LtdFK004 Accumate 1100 Infusion Pump Ambulatory infusion pump One size only $4,950.00
Hospira Pty LtdHO006 Sapphire Infusion System The Sapphire Infusion System is a new device
for ambulatory infusion and acute pain management. It is an infusion pump designed for the volumetric delivery of medications to patients at a programmable rate. Sapphire is the first pump to offer an intuitive, full colour touch screen interface in an ambulatory package, along with best-in-class +/-2.5% product delivery accuracy
Size (in), Weight (oz) 5.6 x 3.8 x 1.9 in. 14.7 oz (including battery)
$4,950.00
RE001 Bodyguard Pump Ambulatory Infusion Pump, Battery Powered One size only $4,950.00
RE002 REM Systems Ambulatory Infusion
Pump
Ambulatory infusion pump, syringe.
Models: NIKI T34 Standard; T34L PCA; T34L
One size only $4,950.00
RX001 Medical Specialties "Walkmed
Infusion Pump System" Powered Drug Infusion System and Ancillary Equipment (McKinley, USA)
Ambulatory Infusion Pump System, Administration Sets and Accessories
Walkmed Infusion Pump System $4,950.00
Billing Code Product Name Description Size
Smiths Medical Australasia Pty Ltd
Benefit
Benefit
Condition
SI034 CADD-Solis VIP Model 2120
Ambulatory Infusion Pump
SI037 CADD Legacy 1 Model 6400 Ambulatory Infusion Pump
SI038 CADD Legacy Plus Model 6500 Ambulatory Infusion Pump
SI039 CADD Legacy PCA Model 6300
Ambulatory Infusion Pump
Ambulatory Infusion Pump One size only $4,950.00
Pump One size only $4,950.00
Pump One size only $4,950.00
Pump One size only $4,950.00
SI045 CADD®- Solis Pain Management
System
The CADD-Solis Pain Management System is an infusion pump for the administration of intravenous, subcutaneous, epidural, nerve block and surgical site infusions. CADD-Solis is supported by a Medication Safety Software (MSS) which allows clinicians to restrict drug programming to pre-set protocols. Protocols are displayed at all times on screen.
680g without intravenous set attached $4,950.00
3.2.3.5 - Programmable/Reprogrammable Flow Rate and Bolus
AH008 ambIT Single Use Regional Kit The ambIT Single Use Regional Kit contains: a
single use ambIT pump, single use administration cassette with male luer lock fitting, 420ml Medibag, the choice of 75mm, 127mm or 154mm fenestrated nerve/wound catheter, a peel away introducer sheath, button guard and patient carry bag.
AH013 ambIT Single Use Kit contains: a single use ambIT infusion pump, single use administration cassette with spike fitting, Button Guard, 2 x AA batteries, and patient carry bag
ambIT Single Use Pump - 55mm x 36mm x 175mm
Ambit Single use administration cassette -
20mm x 10mm x 15mm
AmbIT Single use Pump - 55mm X 36mm X 175mm
AmbIT Single use administration cassette - 20mm X 10mm X 15mm
$450.00
$450.00
CJ006 AutoMed Infusion Pump - 3200 Ambulatory Infusion Pump 100ml, 150ml, 250ml $450.00
Stryker Australia Pty LtdSK461 PainPump 2 Programmable or Preset pump with bolus option and digital display providing controlled infusion of a Local Anaesthetic directly into a
surgical site for post-operative pain management
250ml & 400ml kits $450.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
SR068 | PainPump 2 Continuous Peripheral | Re-programmable & refillable pumps with | 400ml kits | $450.00 |
|
|
| Nerve Block Kit & PainPump 2 | bolus option nd digital display providing |
|
|
|
|
| BlockAid Kit | controlled infusion of a local anaesthetic |
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| directly innervating the surgical site for post- |
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| operative pain management. |
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SR069 | Painpump 2 | Programmable pump with bolus option and | 250ml & 400ml Dual Site kits | $450.00 |
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| digital display providing controlled infusion of |
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| a local anaesthetic directly into dual surgical |
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| sites for post-operative pain management |
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3.2.4 - Infusion Pumps, Spring Powered
BX326 Infusor Sterile Infusor Devices, Spring Powered SV Half, 5ml/hr, nominal 60ml vol, max 65ml.
SV Single day, 2ml/hr, nominal 48ml vol, max 65ml
BX329 Infusor Sterile Infusor Devices, Spring Powered SV Multi day, 0.5ml/hr, nominal 60ml vol, max vol 65ml
SV Seven day, 0.5ml/hr, nominal 84ml vol max 95ml Vol
$85.00
$85.00
Cosuda Pty Ltd
CU001 BeeLINE MotIV Infusion Pump
(275ml)
CU002 BeeLINE MotIV Infusion Pump
(100ml)
External infusion pump, spring powered, fixed flow rate, 275ml set: set includes reservoir, introducer needle, tubing set, priming/flushing syringes, saturation catheter, dressing, syringes. 30min - 7 day infusion
External infusion pump, spring powered, fixed flow rate, 100ml set: set includes reservoir, introducer needle, tubing set, priming/flushing syringes, saturation catheter, dressing, syringes. 30min - 7 day infusion
275ml infuser reservoir = 19cm (7.5") x 7cm (2.8")
100ml infusor reservoir = 13cm (5.1") x 7cm (2.8")
$260.00
$260.00
Billing Code Product Name Description Size
3.2.5 - Infusion Pump Accessories
3.2.5.1 - Kit
Benefit
Benefit
Condition
Baxter Healthcare Pty Ltd
BX286 Painfusor Catheter The Painfusor Catheter is an extended fenestration catheter for the administration of analgesic drugs into surgical wounds to manage acute post-operative pain. Pack contains fenestrated catheter, peel away introducer needle accommodating 19Ga (100 mm length), 3M Tegaderm IV Transparent Film Dressing with border 1633, and GripLok catheter securement device
Catheters are 35cm + Fenestrated section: (35cm + 2.5cm) - total length 37.5cm, (35cm
+ 7.5cm) - total length 42.5cm, (35cm +
15cm) - total length 50cm, (35cm + 22.5cm) - total length 57.5cm, (35cm + 30 cm) - total length 65cm
$80.00
CJ004 Ace Catheter Set The Ace Catheter Set is an extended fenestration catheter. The Ace Catheter Pack contains fenestrated catheter, peel away introducer needle, tubing set, priming/flushing syringes, dressing, and Ace Lock-Catheter securement device.
Catheter - 19Ga, fenestration lengths: 2.5cm (8 hole), 5cm (10 hole), 6.5cm (15 hole),
10cm (20 hole), 12.5cm (25 hole), 15cm (30
hole) and 30cm (60 hole).
$80.00
AH005 ambIT Infusion Pump Cassette Single use sterile disposable administration set
for use with the ambIT Infusion Pump. The cassette contains a rotary mechanism that pumps the infusion solution at an accurate and controlled rate. The cassette includes an administration line with either a spike fitting or a luer lock fitting depending on the solution bag used. The line has an inline air filter.
20mm x 10mm x 15mm $28.00
BX245 Patient Control Module Sterile infusor devices, spring or elastomeric
driven
Module 0.5ml dose, Module 2 ml dose $28.00
CJ007 AutoMed Infusion Pump - Cassette Disposable ambulatory infusion pump cassette
with reservoir bag for AutoMed 3300 and with tubing set for AutoMed 3400
AM 320=100ml bag, AM340= 1750mm
Tubing Set-Luer Lock type, AM360= 1750mm Tubing Set-Spike Type
$28.00
Billing Code Product Name Description Size
Hospira Pty Ltd
Benefit
Benefit
Condition
HO007 Sapphire Infusion Cassette and Set The Sapphire Infusion Cassette and set is a one
piece microfibre infusion set with non vented spike, pinch clamp, administration cassette, female luer lock, entrance with a back check valve, pinch clamp and spin male leur lock for use with the sapphire infusion system. The materail components are made from PVC-Non DEHP (tubing, connectors), silicon (Y site and tubing and polypropylene (valves)
210cm $28.00
RE003 Bodyguard Pump infusion sets Single use sterile disposble infusion set for use
with Bodyguard Infusion Pump
Smiths Medical Australasia Pty Ltd
230 cm length $28.00
SI024 | Medication Cassettes (50ml & 100ml) | Pump | 50 mL | $28.00 |
SI025 | Medication Cassettes (50ml & 100ml) | Pump | 100 mL | $28.00 |
3.2.5.3 - Administration Reservoir
AN006 Animas IR 1200/2020 Insulin
Infusion Cartridge (Insulin Infusion Pump IR1200/2020 Series)
Sterile, indicated as reservoir for insulin by the Animas Infusion Pump, not intended for use with any other infusion device.
Cartridge Capacity - 2.0mL or 200 units. Packs of 10
$8.00
CJ009 AutoMed Infusion Pump - Reservoir Bag
Flexible medication reservoir bag for AutoMed 3300, 3400
100ml, 250ml $8.00
FK006 Accumate 1100 Reservoir Bag Reservoir bag 150ml, 250ml, 500ml $8.00
Rollex Group Australia (2009) Pty LtdRX002 Medical Specialties "Walkmed Drug
Administration Reservoir" (McKinley, USA)
Ambulatory Infusion Pump System, Administration Sets and Accessories
Walkmed Drug Administration Reservoirs $8.00
SI036 Flexible Medication Reservoir, 250ml Model 21-6167-24
Pump 250 mL $8.00
Billing Code Product Name Description Size
3.2.5.4 - Administration Set
Australasian Medical & Scientific Ltd
Benefit
Benefit
Condition
AN003 | Animas Insulin Infusion Sets | (INFUSION SET, COMFORT, 23", HOSP 10, INFUSION SET, COMFORT 43", HOSP 10. Inset II, 6mm and 9mm. Inset 30, 13mm) Needle guard, soft cannula, adhesive tape, introducer needle, cannula housing, tubing, connector needle, circular protective cap and disconnect cover. | Packs of 10 | $7.00 |
AN004 | Animas Insulin Infusion Set | (INFUSION SET, COMFORT, 23", STD 5/5 AND INFUSION SET, COMFORT, 43" STD 5/5) Needle guard, soft cannula, adhesive tape, introducer needle, cannula housing, tubing, connector needle, circular protective cap and disconnect cover. | Packs of 10 | $7.00 |
ClaveGuard Pty Ltd
CJ008 AutoMed Infusion Pump - Administration Set
Administration set for AutoMed 3300 1900mm $7.00
FK005 Accumate 1100 Tubing Set A-type (Luer type) tubing set, B-type (spike
type) tubing set
160.5 cm, 174cm $7.00
RX003 Medical Specialties "Walkmed Drug
Administration Sets" (McKinley, USA)
Ambulatory Infusion Pump System, Administration Sets and Accessories
Walkmed Drug Administration Sets $7.00
SI026 CADD Administration Set 175cm
TOTM tubing
SI027 CADD Administration Sets, 198cm,
with Bag Spike & Add-on Anti- siphon Valve, TOTM Plasticized Tubing, Model No. 21-7057-24
For use with SI036 250 mL $7.00
Pump 198 cm $7.00
SI028 Extention Set (30" & 60") Pump 76 cm $7.00
SI029 Extension Set (30" & 60") Pump 152 cm $7.00 SI040 Administration Set Bag Spike, Integral Anti-Siphon Valve             196cm Bag Spike, Box of 12             $7.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
SI041 Administration Set High Volume, with 0.2 Micron Filter, Male Luer, Add On Anti Syphon Valve
SI042 Extension Set Microbore TOTM with 0.22 Filter, M/M Luers, for Flolan
SI044 Administration Set High Volume, TOTM- Plasticized Blue Striped with 1.2 Micron Filter, Male Luer, Add On Anti-Siphon Valve
Box of 15 $7.00
152cm $7.00
305cm $7.00
CJ005 Ace Tunneler System Tunneler and sheath to assist in placing catheter
in close proximity to key nerve bundles
30cm x 11GA, 30cm x 16GA $50.00
| Orthocare Pty Limited |
| ||
OC018 | Advanced Infusion | Multi-Drip Catheter 2.0ml/hr flow rate | 0.8 x 1200 mm | $50.00 |
OC019 | Advanced Infusion | Mulit-Drip Catheter 4.0ml/hr flow rate 12cm drip area | .08 x 1200 mm | $50.00 |
Surgical SpecialtiesSQ069 Painbuster Tunneler & Sheaths Introducer Sheath to enable deeper placement
of catheter in close proximity to key nerve bundles
20cm x 11GA, 20cm X17GA, 30cm x 11GA,
30cm X 17GA
$50.00
SQ070 Painbuster Soaker Catheter Soaker Catheter Kit- multiple hole silver
antimicrobial catheter, introducer needle & sheath
2.5, 6.5, 12.5 & 25cm infusion segment $50.00
Billing Code Product Name Description Size
3.2.6 - Pharmaceutical Beads
3.2.6.1 - Single Units
Boston Scientific Australia Pty Ltd
Benefit
Benefit
Condition
BS315 | Embozene Tandem Microspheres | Embozene TANDEM Microspheres are spherical tightly calibrated, biocompatible, non- resorbable, hydrogel microspheres with an inorganic polyzene-F coating, colour coded to indicate microsphere size. Each 20mL syringe is filled with 2 ml of product suspended in a non-pyrogenic physiological slaine transport solution. Embozene TANDEM Microspheres may be loaded with Doxirubican-HCl and Irinotecan-HCl up to 50mg/ml which can elute local, controlled, sustained doses of drugs to targeted tumour sites after embolisation. | Tandem 2ml 40 ± 10 µm Tandem 2ml 75 ± 15 µm Tandem 2ml 100 ± 25 µm | $1,950.00 |
BS316 | Embozene Tandem Microspheres | Embozene TANDEM Microspheres are spherical tightly calibrated, biocompatible, non- resorbable, hydrogel microspheres with an inorganic polyzene-F coating, colour coded to indicate microsphere size. Each 20 mL syringe is prefilled with 3 mL of product suspended in a non-pyrogenic physiological saline transport solution. Embozene TANDEM microspheres may be loaded with Doxorubican- HCI and Irinotecan-HCI up to 50 mg/ml which can elute local, controlled, sustained doses of the drugs to targeted tumour sites after embolisation. | Tandem 3ml 40 ± 10 μm Tandem 3ml 75 ± 15 μm Tandem 3ml 100 ± 25 μm | $2,476.00 |
Device Technologies Australia Pty Ltd
DE275 DC Bead Drug delivery embolisation system 70-150, 100-300, 300-500, 500-700, 700-900 (microns)
$1,950.00
Endotherapeutics Pty LtdET052 Hepasphere Expanding microspheres designed for chemic0- embolisation with chemotherapeutic agents such as Ethiodil, Cisplatin, Epirubicin, Mitomycin, etc.
30 – 200 micron, 25mg or 50mg of microspheres
$1,950.00
Billing Code Product Name Description Size
3.2.6.2 - Chains
Benefit
Benefit
Condition
Zimmer Biomet Pty Ltd
BI280 Septopal Chain Septopal Beads PMMA, Stainless Steel 30 bead chain $750.00
3.3.1 - Feeding Tubes
FT003 Corflo Max 20fg PEG Kit Complete
with 7fg Snare - "Pull Type"
Sterile enteral feeding tube with accessories 20fg $178.00
FT004 Corflo Max 20fg PEG Kit "Pull Type" Sterile enteral feeding tube with accessories 20fg $178.00
3.3.2 - Gastrostomy Tubes
AY002 Flexiflo inverta PEG kit Basic,
Flexiflo inverta PEG kit with snare
Bard Australia Pty Ltd
Composition - biocompatible silicone tube. Items included in kit/product - Sliding retention disc, Insertion wire, Gastrostomy tube with attached Dilator Catheter, seldinger needle 14g, magna port connector, scalpel, Snare (in kit with snare)
20F $205.00
BA047 Gastrostomy Tube Silicone Tubes and Replacement Tubes 12Fr - 28Fr $205.00
Boston Scientific Australia Pty LtdBS141 EndoVive Initial Feeding Tube Silicone enteral feeding tube Up to 24 Fr $205.00
Covidien Pty LtdAS205 Kangaroo Skin Level Cage Gastrostomy Kit
Skin level non-balloon internal retention bolster gastrostomy kit, including gastrostomy tube, accessory bolus and continuous feeding tubes syringes for inflation and flushing. Patient handbook
12fg x 1.2cm, 12fg x 1.5cm, 12fg x 2.0cm, 12fg x 2.5cm, 12fg x 3.0cm, 12fg x 3.5cm, 12fg x 4.0cm, 12fg x 4.5cm, 12fg x 5.0cm, 16fg x 1.5cm, 16fg x 1.7cm, 16fg x 2.0cm, 16fg x 2.4cm, 16fg x 2.7cm, 16fg x 3.0cm, 16fg x 3.5cm, 20fg x 1.5cm, 20fg x 2.0cm, 20fg x 2.5cm, 20fg x 3.0cm, 20fg x 3.5cm, 20fg x 4.0cm, 20fg x 4.5cm
$205.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
AS207 | Kangaroo Skin Level Balloon Gastrostomy Kit | Skin level silicone balloon gastrostomy kit, including gastronomy tube accessory bolus and continuous feeding tubes, syringes for inflation and flushing, Patient Handbook | 12fg x 0.8 - 5.0cm, 14fg x 0.8 - 5.0cm, 16fg x 0.8 - 5.0cm, 18fg x 0.8 - 5.0cm, 20fg x 0.8 - 5.0cm, 24fg x 0.8 - 5.0cm | $205.00 |
|
|
AS210 | Kangaroo Single Pass PEG | Single Pass PEG | 16fg, 20fg | $205.00 |
|
|
Device Technologies Australia Pty LtdDE296 Pull PEG System Initial placement percutaneous endoscopic gastrostomy kit
Halyard Health Australia Pty Limited
20Fr; 60cm $205.00
KI001 | Kimberly-Clark Aust Pty Ltd Enteral Feeding Kit | 68914 MIC Gastrostomy Tubes Model 100 Series | MIC* Percutaneous Endoscopic Gastrostomy (P.E.G) Feeding Tubes/Kits 14, 20, 24 French #0630 Series PUSH (OTW) Method & #0640Series PULL Method | $205.00 |
KI002 | Kimberly-Clark Aust Pty Ltd Enteral | 68914 MIC Gastrostomy Tubes Model 100 | MIC* Percutaneous Endoscopic Gastrostomy | $205.00 |
| feeding kit, Mic* Percutaneous | Series | (P.E. G) Feeding BASIC Tubes/Kits 14, 20, |
|
| Endoscopic Gastrostomy (P.E.G) |
| 24 French#0644 Series PULL Method |
|
| Feeding Tubes/Kits |
|
|
|
KI004 | Kimberly-Clark Aust Pty Ltd Enteral | 68914 MIC Gastrostomy Tubes Model 100 | MIC-KEY* Low Profile Gastrostomy Feeding | $205.00 |
| feeding kit, MIC-KEY Low Profile | Series | Tubes/Kits 14 - 24 French, 0.8 cm - 4.5 cm |
|
| Gastrostomy Feeding Tubes/Kits |
|
|
|
Thermo Fisher Scientific Australia Pty LtdFT001 Corflo Cubby LPGD Kit Low profile gastronomy device 12 - 24fg x 1.0 - 4.5cm $205.00
WILLIAM A COOK AUSTRALIA PTY LTDWC072 Passport Low Profile Device Enteral/Gastrostomy FEEDING TUBE French Sizes: 20.0, 24.0 Length: 1.2,1.7,2.4,3.4,4.4 cm
$205.00
WC185 Percutaneous Endoscopic
Gastrostomy (PEG) System
PEG Enteral Feeding Kit - Push or Pull System 18, 20, 24 FR $205.00
WC199 Cook Gastronomy Tubes Russell Gastronomy Set 14fr, 17cm $205.00
WC298 Wills-Oglesby Percutaneous
Gastronomy Set
3.3.2.2 - Subsequent
Used for the percutaneous placement of a catheter for gastroenteric feeding
12-14Fr, Length 30-35cm $205.00
AY005 Flexiflo balloon gastrostomy tube Composition - biocompatible silicone. Items
included in kit/product - sliding retention disc and opened edged feeding port
16 french, 18 french, 20 french $90.00
Billing Code Product Name Description Size
Boston Scientific Australia Pty Ltd
Benefit
Benefit
Condition
BS142 EndoVive Replacement Feeding Tube Silicone enteral feeding tube Up to 28 Fr $90.00
Covidien Pty LtdAS206 Kangaroo Gastrostomy Feeding Tubes 100% silicone gastrostomy with internal
retention balloon
Halyard Health Australia Pty Limited
12fg, 14fg, 16fg, 18fg, 20fg, 22fg, 24fg $90.00
KI003 Kimberly-Clark Aust Pty Ltd Enteral feeding kit, Mic* Percutaneous Endoscopic Gastrostomy (P.E.G) Feeding Tubes/Kits
KI005 Kimberly-Clark Aust Pty Ltd Enteral feeding kit, MIC-KEY Low Profile Gastrostomy Feeding Tubes/Kits
KI007 MIC* Gastrostomy Feeding Tube;
MIC* Bolus Gastrostomy Tube
Nutricia Australia Pty Ltd
68914 MIC Gastrostomy Tubes Model 100 Series
68914 MIC Gastrostomy Tubes Model 100 Series
Medical Grade Silicone Construction. Silicone Internal Inflatable Retention Balloon, SECU- LOK* External Retention Ring, Universal Feeding Port Connector, Medication Port, Dual Exit Ports, Tapered Distal Tip, Radiopaque Strip, Sterile.
Feeding Adaptors (Universal or Bolus) for use with 14, 20 &24 F MIC* PEG's#0135
ˆ Series
SECUR-LOK* Extension Sets & Bolus Feeding Sets 30.5 cm & 60.9 cm
12fr - 3-5ml balloon, 14fr - 3-5ml balloon, 16fr - 3-5ml balloon, 18fr - 7-10ml balloon, 20fr - 7-10ml balloon, 22fr - 7-10ml balloon, 24fr - 7-10ml balloon, 26fr - 7-10ml balloon, 28fr - 7-10ml balloon, 30fr - 7-10ml balloon,
$90.00
$90.00
$90.00
NF001 Flocare Gastrostomy tube (G-tube) The Flocare Gastrostomy tube can be used as a
replacement of an existing gastrostomy tube (PEG or G-tube) or as an initial gastrostomy tube during a surgical intervention. This balloon tube is made of medical grade silicone.
Ch14, 18, 20 $90.00
FT002 Corflo Gastronomy Replacement
Device
Dual and triple gastronomy tubes Dual 12 - 24fg 5 - 20cc balloon; Triple 16 -
24fg 20cc balloon
$90.00
WC070 Gastrostomy Tube PEG Balloon Replacement Tube - Single 14, 18, 24fr $90.00
WC334 Entuit Thrive Balloon Retention
Gastrostomy Feeding Tube
The gastrostomy feeding tube is a sterile device consisting of a silicone balloon, bi-lumen shaft, three-port funnel and bolster.
12-24 Fr $90.00
Billing Code Product Name Description Size
3.3.2.3 - Placement set
WILLIAM A COOK AUSTRALIA PTY LTD
Benefit
Benefit
Condition
WC335 Entuit Start Initial Placement
Gastrostomy Set
3.3.3 - Jejunostomy Tubes
Used to assist with the initial placement of feeding tubes while performing a gastrostomy. The set contains multiple dilators, Peel-Away sheath introducer(s) with dilator(s), a wire guide and needle.
Small (dilator 12, 14 Fr), Medium (dilator 16,18 Fr) and Large (dilator 20,22,24 Fr).
$115.00
WC098 Cook Jejunostomy Catheters Composition - Catheter Radiopaque Stripe,
includes Wireguide, Airplug, Fixation Device
WC099 Cook Jejunostomy Catheters Composition - Catheter Radiopaque Stripe,
includes Wireguide, Airplug, Fixation Device
12fr, length 60cm $170.00
9fr, Length 60cm $170.00
PortHalyard Health Australia Pty Limited
KI006 | Kimberly-Clark MIC* Transgastric- Jejunal Feeding Tubes (Surgical Placement Kits) | Medical Grade Silicone Construction, Silicone Internal Retention Balloon, SECUR-LOK* External Retention ring, Universal Jejunal Feeding Port Connector, Gastric Decompression Port, Multiple Gastric & Jejunal Exit Ports, Tungsten Weighted Jejunal Portion, Tapered Distal Tip, Radiopaque Stripe, Sterile | 16-22 French - 45cm jejunal length - 7-10ml balloon | $500.00 |
KI008 | MIC-KEY Low Profile Transgastric- Jejunal Feeding Tube | 100% medical grade silicone tube. 40/60 tungsten weighted jejunal post pyloric feeding tube. Gastric drainage ports, jejunal feeding ports | 16, 18 and 22Fr, 1.0 to 3.5cm stomal length, 15 to 45cm jejunal length | $500.00 |
KI009 | MIC Transgastric-Jejunal Feeding Tube | 100% medical grade silicone tube. 40/60 tungsten weighted jejunal post pyloric feeding tube. Gastric drainage ports, jejunal feeding ports | 16, 18, 22Fr, 15 to 45cm jejunal length, 7- 10ml balloon volume | $500.00 |
WILLIAM A COOK AUSTRALIA PTY LTDWC292 Shetty Single Lumen Gastrojejunostomy Set
3.3.4 - Caecostomy Tubes
The Shetty Gastrojejunostomy set consists of an Ultrathane Gastrojunostomy Catheter, Peel- Away introducer, and Cope Gastrointestinal Suture Anchor Set.
14 Fr, Length: 63cm $500.00
WC197 Cook Irrigation Catheter Chait Percutaneous Cecostomy Catheter 10fr, Standard or Extra Long $355.00
3.4.1 - Adjustable Gastric Band with Port
AA009 Bioring Gastric Band Adjustable gastric banding kit Small, Large and Extra Large $3,300.00
AA010 Adhesix Bioring Gastric Band Adjustable gastric band system with mesh
fixation of port
Small, Large and Extra Large $3,300.00
ER216 Lap-Band Adjustable Gastric
Banding (LAGB) System
Endotherapeutics Pty Ltd
- AP-small and AP-large $3,300.00
ET042 Soft Gastric Banding System Sterile long term implant for the treatment of
obesity. Supplied in kit format with catheter, port and huber needles
One size only $3,300.00
JJ831 Ethicon Endo-Surgery curved adjustable gastric band with sutureless port and applier
Silicone One size only $3,300.00
JJ832 Swedish Adjustable Gastric Band Silicone One size only $3,300.00
Lifehealthcare Pty LtdLH003 Adjustable Peri Gastric Belt-Midband Silicon moulded peri gastric band and
implantable chamber
Peri gastric band - 2.2 x 17.5 x 0.8cm, Implantable chamber - one size only
$3,300.00
Emergo Asia Pacific Pty LtdER219 Lap-Band AP with RapidPort EZ LAP-BAND AP RapidPort EZ System 11.6mm x 30.5mm x 14mm
11.6mm x 30.5mm x 16.5mm
$3,300.00
RS002 MiniMizer gastric band. Adjustable Silicone band which is placed
around the upper part of the stomach to reduce the volume and speed of intake of food.
3.4.2 - Gastric Band without Port
The gastric band comes in two sizes: Regular and Large
$3,300.00
SH011 GaBP Ring Adjustable Gastric Ring Differing sizes $2,000.00
ET081 A.M.I. B-Band Adjustable gastric banding implant for stabilising the gastroenterostomy stoma. The
A.M.I B-Band is a soft gastric bypass band which serves as a restrictive component in gastric bypass surgery. Restriction is achieved by placing the device around the remaining stomach pouch in order to prevent long term dilation of the gastrojejunostomy and to ensure a controlled emptying of the stomach pouch.
Adjustable band length: 4.0cm - 7.5cm. Band height: 10mm
$2,450.00
LH527 MIDCAL Ring Adjustable Gastric Ring 6.5-7.5cm circumference $2,000.00
Sphere SurgicalRS001 Minimizer Ring Adjustable Gastric Ring One size ranging from 6.5cm to a 8.0cm
diameter
$2,450.00
3.4.3 - Replacement Injection Ports
AA008 Bioring Gastric Band Replacement
Port
Endotherapeutics Pty Ltd
Bioring gastric band access port with catheter and connector
Diameter 34mm; height 10.4mm $620.00
ET056 Soft Basket Band. INFUSION PORT. TITANIUM PORT 9.8CMS/13.3CMS $620.00
Johnson & Johnson Medical Pty LtdJJ444 Ethicon Endo-Surgery Gastric band
sutureless port and applier
Lifehealthcare Pty Ltd
Implantable infusion port & locking connector for adjustable gastric band. Replacement port & locking connector for use with adjustable gastric band.
One size only $620.00
LH413 Miband Access Port (replacement) A device, metallic or non- metallic, implanted
in a patient for a short or long-term delivery of fluid or medications to the vascular system or other anatomical region. The device consists of a housing, self-sealing septum and a catheter connection mechanism. The device may be implanted in a variety of anatomical locations.
Port Size - 10.6mm High, 24.7mm Base width- One Size only
$620.00
MG018 HAGA Access Port Access Port contains Titanium and Silicone Standard $620.00
ER217 Lap-Band Access Port For use with the Lap-Band Adjustable Gastric
Banding System
Standard, low profile $620.00
ER220 RapidPort EZ Access Port Kit
(replacement port)
Access Port Kit for LAP-BAND RapidPort EZ system
11.6mm x 30.5mm x 14mm 11.6mm x 30.5mm x 16.5mm
$620.00
Billing Code Product Name Description Size
Sphere Surgical
Benefit
Benefit
Condition
RS003 MiniMizer gastric band (injection
port)
03.04.04 - Accessories
Adjustable Silicone band which is placed around the upper part of the stomach to reduce the volume and speed of intake of food. The injection port is used to inflate or deflate the gastric band therefore adjusting the diameter of the band.
Small or medium sized port. $620.00
ER218 Rapid Port Tack Implantable acetal copolymer disk assembly, rotor assembly with three stainless steel fasteners. The fasteners, when deployed by rotating the rotor, extend about 3mm below the undersurface of the Tack
Outside diameter for the tack 30.5mm diameter by 5.6mm Height. The wires extend 3mm below the bottom surface.
$170.00
DV024 Haemorrhage Occluder Pin with
applicator
3.5.2 - Powder
Designed to control severe presacral bleeding during pelvic surgery.
Two sizes: 10mm and 14mm $430.00
JJ636 Spongostan Absorbable Haemostatic Gelatin Powder
1 g Porcine Absorbable Haemostatic Gelatin Powder
1 gram $50.00
LH408 Geli Putty(Powder, 1g) Geli Putty is a single- use, water insoluble, fully
bioabsorbable gelatin powder comprising milled sponges (Gelita-Spon) made from 100% pharmaceutical grade porcine gelatin mixed with sterile liquid (e.g. saline or antibiotic solution) prior to use.
1 gram $50.00
Billing Code Product Name Description Size
Surgical Specialties
Benefit
Benefit
Condition
SQ072 | HaemoCer Haemostatic Powder | Absorbable Polysaccharide Haemostat | 2gms | $100.00 |
SQ073 | HaemoCer Haemostatic Powder | Absorbable Polysaccharide Haemostat | 5gms | $250.00 |
Advanced Biomedical Pty Ltd
AB079 PerClot Laparascopic PerClot Polysaccharide Hemostatic System 3 grams $150.00
AB080 PerClot Standard & XL - 1 gram PerClot Polysaccharide Hemostatic System 1 gram $50.00
AB081 PerClot Standard & XL - 3 grams PerClot Polysaccharide Hemostatic System 3 grams $150.00
AB082 PerClot Standard PerClot Polysaccharide Hemostatic System 5 gram $250.00
Bard Australia Pty LtdBA260 Arista AH Arista Absorbable Haemostatic Particles 1g $50.00
BA261 Arista AH Arista Absorbable Haemostatic Particles 3g $150.00
BA262 Arista AH Arista Absorbable Haemostatic Particles 5g $250.00
Baxter Healthcare Pty LtdBX336 OSTENE Bone Haemostasis material 2.5g
BX337 Ostene 3.5g Bone Haemostasis
material
OSTENE is a water soluble polymer which provides immediate bone haemostasis, ie a bone haemostasis material, in surgical procedures
OSTENE is a water soluble polymer which provides immediate bone haemostasis, ie a bone haemostasis material, in surgical procedures
2.5g per stick $125.00
3.5g $175.00
SV053 Starsil Haemostat Plant based haemostatic powder 1g $50.00
SV054 Starsil Haemostat Plant based haemostatic powder 2g $100.00
SV055 Starsil Haemostat Plant based haemostatic powder 5g $250.00
3.5.2.1 - Integrated Delivery System
VM001 EndoClot Kit Polysaccharide haemostatic system 2g particles, 2300mm catheter length $170.00
Billing Code Product Name Description Size
3.5.2.2 - Delivery Catheter
Bard Australia Pty Ltd
Benefit
$31.00
Benefit
Condition
3.5.3 - Sponges
3.5.3.1 - Absorbable ≤75cm²
Johnson & Johnson Medical Pty Ltd
JJ003 | Spongostan Absorbable Haemostat | Standard (Box of 20) | 70 x 50 x 10mm | $10.00 |
JJ005 | Spongostan Absorbable Haemostat | Special (Box of 20) | 70 x 50 x 1mm | $10.00 |
JJ015 | Spongostan Absorbable Haemostat | Dental (Box of 24) | 10 x 10 x 10mm | $10.00 |
| Lifehealthcare Pty Ltd |
|
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LH405 | Gelita-Spon Absorbable Gelatin Sponge-Gelita- Spon IR Sponge | Gelita- Spon IR is a sterile, single-use, fully bioabsorbable gelatin sponge indicated to achieve rapid haemostasis(e.g. surgically or trauma induced) by tamponade, and arterial embolisation. also indicated for use as a vehicle for a wide range of therapeutic agents including antibiotics, thrombin and chemotherapeutics without reduction in the sponge's haemostatic effect. | GS-322-Gelita-Spon IR Sponge; 200s- 3x2x2mm GS- 344- Gelita- Spon IR Sponge; 100s- 4x4x4mm | $10.00 |
LH410 | Gelita-Spon Absorbable Gelatin Sponge Anal-Vaginal Tampon | 'Gelita-Spon Anal-Vaginal Tampon is a sterile, single use, fully bioabsorbable gelatin sponge indicated to achieve rapid haemostasis by tamponade, also indicated for use as a vehicle for a wide range of therapeutic agents, including antibiotics, thrombin and chemotherapeutics without reduction in the sponge's haemostatic effect. | 3x8cm | $10.00 |
LH411 | Gelita-Spon Absorbable Gelatin Sponge - Gelita-Spon ENT Sponge | GelitaSpon ENT Sponge is a sterile, single use, water insoluble, fully bioabsorbable, firm, high- density gelatin sponge indicated to achieve rapid haemostasis during ENT surgery . | 8x5x1 cm & 1x1x1cm | $10.00 |
Billing Code Product Name Description Size
Benefit
Benefit
Condition
LH412 Gelita-Spon Absorbable Gelatin
Sponge-Gelita- Spon Dental Cube
LH414 Gelita-Spon Absorbable Gelatin
Sponge-Gelita- Spon Standard
Anatomically Conforming
Gelita-Spon Dental Cube is a sterile, single- use, indicated to achieve rapid haemostasis dental surgery (oral bone and soft tissue), a void filler to mitigate against the risk of sclerosis created by tooth extraction, root amputations, and the removal of cysts, tumours and impacted teeth. its absorptive capacity being a function of the amount of gelatin incorporated and, hence, the physical size of the sponge. also indicated for use as a vehicle for a wide range of therapeutic agents.
Gelita-Spon Standard is a sterile, single- use, fully bioabsorbable gelatin sponge indicated to achieve rapid haemostasis(e.g. surgically or trauma induced)by tamponade, and arterial embolisation . also indicated for use as a vehicle for a wide range of therapeutic agents, including antibiotics, thrombin and chemotherapeutics without reduction in the sponge's haemostatic effect.
GS-310 - Gelita-Spon Dental Cubes; 50s - 10 x 10 x 10mm
GS-010-Gelita-Spon Standard; 10s- 80x50x10m GS-060-Gelita-Spon Standard Size 12-7; 10s-
60x20x7mm
GS-060-Gelita-Spon Standard Size 12-7; 10s-
60x20x7mm
GS-650- Gelita Spon Standard Size 200; 10s-
125x80x10mm
GS-110-Gelita-Spon Standard Size Special 20; 20s-
80x50x1mm
GS-950-Gelita-Spon Standard Film; 20s- 200x70x0.5mm
$10.00
$10.00
Johnson & Johnson Medical Pty LtdJJ006 | Spongostan Absorbable Haemostat | Anal 20s (Box of 20) | 80 x 30mm | $17.00 |
JJ007 | Spongostan Absorbable Haemostat | Anal 5s (Box of 5) | 80 x 30mm | $17.00 |
Low Antigenicity
Pfizer Australia Pty Ltd
PU059 Gelfoam Sterile Sponge Sterile, pliable, nonantigenic surgical sponge
prepared from specially treated purified gelatine solution
12 - 20mm x 60mm x 7mm, individually packaged for use
$17.00
JJ004 Spongostan Absorbable Haemostat Film (Box of 20) 200 x 70 x 0.5mm $30.00
Billing Code Product Name Description Size
Low Antigenicity
Pfizer Australia Pty Ltd
Benefit
Benefit
Condition
PU060 Gelfoam Sterile Sponge Sterile, pliable, nonantigenic surgical sponge
prepared from specially treated purified gelatine solution
100 - 80mm x 125mm x 10mm in individual packet
$72.00
LH424 Gelitacel Oxidised Resorbable
Cellulose Gauze (15)
Antimicrobial, Low Antigenicity Balance Medical Pty Ltd
Gelitacel is a white, single-use, non-toxic, sterile, bioarbsorbable, weakly acidic, viscose- free, knitted haemostatic fabric (USP)
5 x 7 cm $10.00
BG002 BloodStop iX BloodStop iX is a new generation haemostat
made from water soluble, oxidised-etherified regenerated cellulose
1.3x5cm, 5x5cm, 5x10cm $20.00
JJ013 Surgicel ORIGINAL Absorbable Haemostat
JJ014 Surgicel ORIGINAL Absorbable Haemostat
Oxidised regenerated cellulose gauze, the material is biocompatible and also bactericidal
Oxidised regenerated cellulose gauze, the material is biocompatible and also bactericidal
5 x 7.5cm $22.00
1.25 x 5cm $22.00
JJ009 Surgicel Fibrillar Absorbable
Haemostat
Fibrous fleece, oxidised regenerated cellulose,
the material is biocompatible and also bactericidal
2.5 x 5.1cm $40.00
MN112 Surgicel Non-Woven (SNoW)
Absorbable Haemostat
Absorbable haemostat, Structured Non-Woven 2.5 x 5cm $40.00
JJ023 Surgicel Nu-Knit Absorbable
Haemostat
High density, oxidised regenerated cellulose,
the material is biocompatible and also bactericidal
2.5 x 2.5cm $38.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
JJ432 | SURGICEL Nu knit Absorbable Haemostat | High density , oxidised regenerated cellulose, the material is biocompatible and also bactericidal. | 2.5 x 8.75cm | $38.00 |
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3.5.4.2 - Absorbable 51 cm² – 75cm²JJ030 Surgicel Fibrillar Absorbable
Haemostat
Fibrous fleece, oxidised regenerated cellulose,
the material is biocompatible and also bactericidal
5.1 x 10.2cm $80.00
MN116 Surgicel Non-Woven (SNoW)
Absorbable Haemostat
Absorbable haemostat, Structured Non-Woven 5 x 10.2cm $80.00
JJ008 Surgicel Nu-Knit Absorbable
Haemostat
3.5.4.3 - Absorbable >75cm²
LH423 Gelitacel Oxidised Resorbable
Cellulose Gauze (10)
Antimicrobial, Low Antigenicity Balance Medical Pty Ltd
High density, oxidised regenerated cellulose,
the material is biocompatible and also bactericidal
Gelitacel is a white, single use, non-toxic, sterile, hydrophilic bioabsorbable, weakly acidic, viscose-free, knitted haemostatic fabric (USP)
7.5 x 10cm $76.00
5 x 35 cm, 10 x 20 cm $30.00
BG001 BloodStop iX BloodStop iX is a new generation haemostat
made from water soluble, oxidised-etherified regenerated cellulose
10x20cm, 5x35cm $36.00
JJ012 Surgicel ORIGINAL Absorbable Haemostat
Oxidised regenerated cellulose gauze, the material is biocompatible and also bactericidal
5-10.2 x 20-35cm $40.00
JJ029 Surgicel Fibrillar Absorbable
Haemostat
Fibrous fleece, oxidised regenerated cellulose,
the material is biocompatible and also bactericidal
10.2 x 10.2cm $114.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
MN117 Surgicel Non-Woven (SNoW)
Absorbable Haemostat
Absorbable haemostat, Structured Non-Woven 10.2 x 10.2cm $114.00
JJ433 SURGICEL Nu knit Absorbable
Haemostat
3.5.5 - Matrix
High density , oxidised regenerated cellulose,
the material is biocompatible and also bactericidal.
15.2 x 22.9cm $106.00
JJ640 Surgiflo Haemostatic Matrix Absorbable Porcine Gelatin Matrix Pre-
packaged in a Syringe
Complete BiomaterialBaxter Healthcare Pty Ltd
6ml of gelatin gel per kit. Mixing with 2ml- 5ml of saline or thrombin produces 8ml-11ml of haemostatic matrix.
$450.00
BX258 FloSeal Hemostatic Matrix FloSeal is a proprietary combination of
collagen-derived particles and topical thrombin. Comes with a syringe with needle or needle free vial adapter. It is not sponge, but is a high viscosity gel for haemostasis. Clinical proven to control bleeding from capillary oozing to arterial spurting.
MN151 Evicel® Haemostatic matrix composed of human fibrinogen and thrombin
5ml $700.00
4mL kit $700.00
MQ038 Purastat Haemostatic material in the form of a pre-filled syringe
1ml, 2ml, 5ml $700.00
Billing Code Product Name Description Size
3.5.5.2 - Liquid >6ml
Complete Biomaterial
Baxter Healthcare Pty Ltd
Benefit
Benefit
Condition
BX259 FloSeal Hemostatic Matrix FloSeal is a proprietary combination of
collagen-derived particles and topical thrombin. Comes with a syringe with needle or needle free vial adapter. It is not sponge, but is a high viscosity gel for haemostasis. Clinical proven to control bleeding from capillary oozing to arterial spurting, FloSeal functions on w
Johnson & Johnson Medical Pty Ltd
10ml $1,000.00
MN152 | Evicel® | Haemostatic matrix composed of human fibrinogen and thrombin | 10mL kit | $1,000.00 |
MN172 | Surgiflo Haemostatic Matrix with Thrombin | Absorbable Porcine Gelatin Matrix pre- packaged in a syringe and with plasma derived Human Thrombin | 6mL of gelatine gel per kit. Mixing with 2mL of water or saline with thrombin produces 8mL of haemostatic matrix. | $1,000.00 |
3.5.5.3 - Non-liquid ≤50cm²Australasian Medical & Scientific Ltd
AN009 Collatamp G Biodegradeable collagen implant with gentamicin
5cm x 5cm x 0.5cm $135.00
Australasian Medical & Scientific Ltd
AN008 Collatamp G Biodegradable collagen implant with gentamicin 10cm x 10cm x 0.5cm, 20cm x 5cm x 0.5cm $307.00
3.5.5.5 - Accessory Extender
MN041 Endoscopic Applicator Extender used as an adjunct to haemostasis
when control of bleeding by ligature or conventional surgical procedures is ineffective or impractical
MN153 Evicel® 35cm Rigid Tip Triple lumen, clog resistant rigid tip for drip or
spray applications
MN154 Evicel® 45cm Flexible Tip Triple lumen, clog resistant flexible tip for drip
or spray applications
34cm extender $31.00
35cm $31.00
45cm $31.00
Billing Code Product Name Description Size
3.5.6 - Foam
Benefit
Benefit
Condition
Matrix Medical Innovations
BF021 SealFoam, High Density SealFoam is an absorbable Polysaccharide
Haemostat
03.06.01 - Biliary Stents
60mm x 40mm x 2mm 60mm x 40mm x 4mm
120mm x 25mm x 4mm (2/pack)
$150.00
BS066 Biliary Drainage Stent, Amsterdam
Biliary Stent
C-Flex or Polyurethane Biliary Stent Diameters up to 12Fr & lengths up to 15cm $82.00
BS184 Advanix Plastic Stent Plastic stent manufactured individually 5-18cm length, 7-10 FR diameter $82.00
CK Surgitech Pty LtdAK003 Biliary Stents Biliary stent, straight, curved, bended, pigtails and double pigtail
5.0 to 11.5 french $40.00
OL003 Bile Duct Stent Polyethylene Stents 7FR - 12FR 3cm - 15cm $82.00
OL008 Olympus Biliary Stent Set Radio-opaque Polyethglare Stent Set 7Fr 3cm - 15cm, 8Fr 3cm - 15cm, 10Fr 3cm -
15cm
$82.00
WC006 Cotton-Leung Biliary Stent Only . 6 - 11.5Fr, Length 3 - 20cm $82.00
WC008 Cotton-Huibregste Biliary Stent Only . 7 - 11.5Fr, Length 5 - 21cm $82.00
WC012 Zimmon Biliary Stent Only . 5 - 11.5Fr, Length 3 - 18cm $82.00
WC064 Tannenbaum Biliary Stent only Plastic biliary stent with proximal and distal
flaps
Diameter: 8.5,10,11.5 FR. Length Between Flaps: 5 -->15 cm
$82.00
WC267 Cotton-Leung Sof-Flex Biliary Stent Cotton-Leung Sof-Flex Biliary Stent 6 - 11.5 Fr; Length 3 - 20cm $82.00
Delivery SystemBoston Scientific Australia Pty Ltd
BS054 | Flexima Biliary Stent | Polyurethane Biliary Stent | Diameters up to 12Fr & lengths up to 15cm | $200.00 |
BS055 | RX Biliary Stent | Polyurethane Biliary Stent | Diameters up to 12Fr & lengths up to 15cm | $200.00 |
Billing Code Product Name Description Size
Benefit
Benefit
Condition
BS173 Advanix Plastic Stent with Naviflex
Delivery System
Plastic stent manufactured pre loaded on a delivery catheter
5-18cm length, 7-10 FR diameter $200.00
WC013 Zimmon Biliary Stent Set Double pigtail plastic biliary stent with delivery
system
WC017 Cotton-Leung Biliary Stent Set Set includes stent, positioning sleeve to
collapse the duodenal flap, 170cm pushing catheter and 320cm guiding catheter. 7Fr stents do not include guiding catheter.
WC078 Cook Biliary Stents Composition Plastic, includes Stent, Wireguide
& Positioner
WC106 Cotton-Leung Biliary Stent Set Polyethylene Stent preloaded on an Oasis
Introduction System
WC108 Geenan Pancreatic Stent Set Radiopaque Polyethylene Stent with or without
ductal flaps - includes pushing catheter
5 - 11.5Fr, Length 2 - 18cm $200.00
7 - 11.5Fr, Length 5 - 18cm $200.00
French 7.0, length 4cm $200.00 Diameter 7 - 11.5 FR, length 5 - 15cm $200.00 Diameter 3 - 11.5 FR, Length 2 - 15cm $200.00
WC166 Solus Biliary Stent Set Double Pigtail with OASIS introducer. Sof-flex
material - with radiopaque bands.
Diameter 10 FR, Length:1 - 15 cm Between pigtails
$200.00
WC216 Fanelli Laparoscopic Endobiliary
Stent Set
Fanelli stent (double flange white polyehtylene), tracer Hybrid .035"X150cm Guide (slippery wire), 8.5 Fr Introducer and Pusher Catheter (TFE) System with four radiopaque accuracy markers, two way terminal adapter
7.0 French diameter x 6cm length double flange stent loaded in an 8.5 fr delivery system.
$200.00
WC228 Tannenbaum Biliary Stent Set
preloaded on the OASIS Introduction System
Plastic Biliary Stent 8.5 - 11.5 Fr, 5 - 15 cm $200.00
WC269 Fusion Marathon Biliary Stent Biliary Plastic Stent with anti-reflux sleeve
preloaded on the OASIS delivery device
3.6.1.2 - Reinforced Wall, Uncovered/Bare Metal
Stent diameter: 10FR; Lengths 5 to 15cm $200.00
BA124 Memotherm Biliary Stent Nitinol. Includes deployment system Sizes - Diameter 8 - 10mm, Length 40 -
100mm
$2,225.00
Boston Scientific Australia Pty LtdBS051 | Wallstent Biliary Stent | Monofilament wire, self-expanding stent | Diameters up to 10mm & lengths up to 100mm | $2,225.00 |
BS215 | WallFlex Biliary Stent | Bare Metal Stent | 6 - 10 x 40 - 120mm | $2,225.00 |
Billing Code Product Name Description Size
Benefit
Benefit
Condition
BS307 HANAROSTENT HANAROSTENT Biliary(NNN),
HANAROSTENT Biliary Hilar. Un-covered self-expanding nitinol biliary stent
BS309 Benefit Stent Benefit Biliary Stent. Un-covered self- expanding nitinol biliary stent
Diameter 6-10mm, Length 40-120mm $2,225.00
Diameter 6-8mm, Length 40-120mm $2,225.00
AS199 Protegeâ„¢GPSâ„¢ Self-expanding
Billary Stent System
AS200 VisiProâ„¢ Balloon-Expandable
Biliary Stent System
Nitinol self expanding stent pre-mounted on 6F OTW delivery system
Stainless Steel balloon expandable stent mounted onto a non-compliant balloon catheter
Diameter (mm) 6 -14, Length (mm) 20 - 150 $2,225.00
Diameter (mm) 5 - 10, Length (mm) 12 -57 $2,225.00
DE408 Bonastent Biliary Stent Self-expanding metal biliary stents 10mm diameter and length varies from 60mm
to 100mm
$2,225.00
ET039 SX-Ella Tips Stent Uncovered, self-expanding nitinol stent Dia 10-14mm, length 52-77mm $2,225.00
Olympus AustraliaOL011 X-Suit NIR Biliary Metal Stent The Medinol X-Suit® Biliary Metallic Stent
consists of a self-expanding noncovered Nitinol stent integrated into a delivery system.
8 or 10mm diameter - 40, 60, 80 or 100 mm length, 7.5F
$2,225.00
PY038 Niti-S Biliary Stent (D, Y, T, S-Type, Comvi)
Niti-S Biliary Stent. Deployed via stent delivery system for use TTS or percutaneously
6-10mm Diameter x 40 - 120mm Length $2,225.00
WC200 Fusion Zilver Biliary Stent System Self expanding Metal Biliary Stent with Fusion
Introducer System
Diameters: 6, 8 & 10mm; length: 4, 6 & 8cm $2,225.00
WC270 Zilver Biliary Stent System Self expanding metal biliary stent system Diameters 6, 8, 10mm; Lengths 4, 6, 8 cm $2,225.00
WC308 Evolution Biliary Stent System
(uncovered)
Self expanding bare metal biliary stent system. Diameters :8 -10mm
Lengths: 40 -100mm
$2,225.00
WC331 Zilver 635 Biliary Stent The Zilver 635 Biliary Stent is a self-
expandable stent made of nitinol.
3.6.1.3 - Reinforced Wall, Covered
Boston Scientific Australia Pty Ltd
Length: 4-8cm, Diameter: 6-14mm, Delivery system: 40cm
$2,225.00
BS052 | Wallstent Biliary Stent | Monofilament wire, self-expanding stent | Diameters up to 10mm & lengths up to 100mm | $3,025.00 |
BS070 | Wallstent RX Biliary Stent | Monofilament wire, self-expanding stent | Diameters up to 10mm & lengths up to 100mm | $3,025.00 |
Billing Code Product Name Description Size
Benefit
Benefit
Condition
BS214 WallFlex Biliary Stent Stent with permalume covering 6 - 10 x 40 - 120mm $3,025.00
BS306 HANAROSTENT HANAROSTENT Biliary, HANAROSTENT
Biliary Flap, HANAROSTENT Biliary Flap Lasso, HANAROSTENT Biliary Lasso (SHCL Models). Self-expanding nitinol biliary stent
BS308 TwynLay TwynLay Biliary. Self-expanding nitinol biliary stent
Device Technologies Australia Pty Ltd
Diameter 6-10mm, Length 20-150mm $3,025.00
Diameter 8-10mm, Length 40-120mm $3,025.00
DE404 Bonastent Biliary Stent Self-expanding covered metal biliary stents 10mm diameter and length varies from 60mm
to 100mm
$3,025.00
ET038 SX-Ella Biliary Stent Uncovered, self-expanding nitinol stent Dia 8-12mm, length 50-77mm $3,025.00
MD Solutions Australasia Pty LtdMB023 Allium Biliary Stent Endoscopic or Transhepatic biliary stent made of nitinol with copolymer covering and unraveling technology for atraumatic removal
Stent length - 60, 80, 100, 120mm. Diameter - 8, 10mm. Anchor optional
$3,025.00
PY020 Niti-S Biliary Covered Stent Niti-S Biliary self expanding nitinol Stent fully
covered with a silicone membrane, PTFE, polyurethane layer to prevent tumor ingrowth. Has nylon drawstring for removal. Stent delivery system is designed for use TTS for endoscopic or percutaneous procedures
Diameter: 4mm-28mm Length: 10-120mm
$3,025.00
PY027 Niti-S Biliary Covered and Partially
Covered Stents
W L Gore & Associates
The Niti-S Biliary Stent (fully and partially covered) is comprised of 1 Nitinol S0-type stents with a layer of polytetraethylene (PTFE) between that fully envelopes the proximal and distal ends of the stent, resulting in an integrated structure designed to prevent tissue invasion.
6mm to 12mm diameter x 4cm to 12cm length $3,025.00
GT116 Gore Biliary Endoprostheses ePTFE Short or Long Catheter 8-10mmx4-8cm $3,025.00
WILLIAM A COOK AUSTRALIA PTY LTDWC309 Evolution Biliary Stent System
(covered)
Self expanding partially or fully covered biliary stent system.
Diameters: 8 - 10mm Lengths: 40 - 80mm
$3,025.00
Billing Code Product Name Description Size
3.6.2 - Colonic Stents
Benefit
Benefit
Condition
Self Expanding
Bard Australia Pty Ltd
BA088 Memotherm Stents Colorectal, Nitinol, Self-expanding 25-30mm D, 60-100mm Length $3,060.00
Boston Scientific Australia Pty LtdBS071 Ultraflex Precision Colonic Stent Nitinol, self expanding stent Diameters up to 30mm & lengths up to 150mm $3,060.00
Pyramed Pty LimitedPY024 Niti-S Colorectal Stent Niti-S Colorectal self-expanding metal stent
made from Nitinol. Stent PTFE covered and uncovered OTW or TTS with string for ease of removal.
Stent Dimensions mm: 18x26x30, 18x24x30, 20x26x30, 22x30x30, 24x30x30, 20x28x30
Length mm: 30-90
$3,060.00
Device Technologies Australia Pty Ltd
DE409 Bonastent Colo-Rectal Stent Self-expanding covered metal colo-rectal stents 22mm-24mm diameter and length varies from
60mm to 160mm
DE410 Bonastent Colo-Rectal Stent Self-expanding metal colo-rectal stents 22mm-26mm diameter and length varies from
30mm to 160mm
$3,060.00
$3,060.00
Boston Scientific Australia Pty Ltd
BS300 | HANAROSTENT | HANAROSTENT Intestine Asymmetric, HANAROSTENT Colon/Rectum TTS, HANAROSTENT Colon/Rectum, HANAROSTENT Colon/Rectum Asymmetric, HANAROSTENT Colon/Rectum Lasso. Self- expanding nitinol colon/rectum stent, | Diameter 20-24mm, Length 60-180mm | $3,060.00 |
BS301 | TwynLay | TwynLay Colon/Rectum. Self-expanding nitinol colon/rectum stent | Diameter 22-24mm, Length 60-170mm | $3,060.00 |
Pyramed Pty Limited
PY023 Niti-S Colorectal Stent D-type Niti-S D-Type Colorectal self-expanding metal
stent made from Nitinolin unique D mesh construction uncovered OTW or TTs. With string for ease of removal
Diameters: 18 - 30mm Lengths: 60 - 150mm $3,060.00
Billing Code Product Name Description Size
3.6.3 - Oesophageal Stents
3.6.3.2 - Reinforced Wall, Uncovered/Bare Metal
Boston Scientific Australia Pty Ltd
Benefit
Benefit
Condition
BS046 Ultraflex Oesophageal Stent;
Ultraflex Oesophageal NG Stent
Nitinol, self expanding stent Diameters up to 30mm & lengths up to 150mm $2,500.00
DE406 Bonastent Oesophageal Stent Self-expanding metal oesophageal stent 18mm-22mm diameter and length varies from
80mm to 160mm
$2,500.00
BS089 WallFlex Oesophageal Stent,
WallFlex RMV Oesophageal Stent
Nitinol, self expanding stent Diameters up to 30mm & lengths up to 155mm $3,500.00
BS102 Polyflex Oesophageal Stent Polyester braided material encapsulated with
silicone, self expanding stent
Diameters up to 30mm & lengths up to 150mm $3,500.00
BS298 Ultraflex Oesophageal NG Covered
Stent
Translucent polyurethane covered nitinol, self expanding stent
Diameters up to 30mm & lengths up to 150mm $3,500.00
BS302 CHOOSTENT CHOOSTENT Esophagus, Esophagus Valve, Esophagus Asymmetric, Esophagus Upper. Covered esophageal stent, self-expanding nitinol
BS303 HANAROSTENT HANAROSTENT Esophagus, Esophagus Valve, Esophagus Benign BS, Bariatric Surgery, Esophagus TTS, Esophagus Skidproof, Esophagus Asymmetric, Esophagus Bone Shape Partial Covered, Esophagus Valve Partial covered. Covered esophagus stent, self- expanding nitinol
Diameter 18-24mm, Length 50-220mm $3,500.00
Diameter 18-30mm, Length 50-240mm $3,500.00
AK002 Stent, oesophageal, dudodenal, rectal, biliary
self expandable nitinol stent with introducer system
20,30,40,50,60,70,80,90,100,110,120mm $1,200.00
DE405 Bonastent Oesophageal Shim Anti- Reflux Valve Stent
Self-expanding metal oesophageal shim stents with anti-reflux valve
22mm diameter and length varies from 90mm to 150mm
$3,500.00
Billing Code Product Name Description Size
Endotherapeutics Pty Ltd
Benefit
Benefit
Condition
ET001 Ferx Ella Esophageal Stent Kit includes esophageal stent, introducer,
balloon catheter
ET045 Boubella Esophageal Stent Self expandable stainless steel wire stent with
anti-reflux valve
Diam 20mm, Length 80 - 160mm $3,500.00
Length 90 - 195mm $3,500.00
ET069 SX - ELLA Stent Esophageal HV (HV Stent Plus)
The SX-ELLA Atent Esophageal HV (HV Stent Plus) is a self-expandable, fully covered nitinol stent, pre-loaded on a delivery system. The stent is designed to provide relief from malignant or benign strictures in the oesophagus, or treating anastomic leaks. HV Stent Plus includes an anti-migration collar & is also available with an anti-reflux valve
Stent body diameter = 20mm; Stent flares = 25mm diameter; Stent nominal length = 85/110/135/150mm
$3,500.00
ET070 SX- ELLA Stent Danis The Danis Procedure Pack Basic contains the
SX-ELLA Stent Danis, a nitinol wire that is compressed & preloaded within a delivery system, along with various instruments necessary for the stent implantation. The Stent Denis is a removable stent system for the treatment of bleeding esophageal varices. It is intended to be implanted and then removed within seven days of the date of implantation in order to avoid the risk of in-growth into the stent mesh
One size: Stent flares diameter 30mm; Stent body diameter 25mm; Nominal length 135mm
$3,500.00
PY021 Niti-S Oesophageal Fully Covered
Stent
PY022 Niti-S Oesophageal Double and
Double Double, Beta & Beta-2 stents
Niti-S Oesophageal fully covered self expanding nitinol stent with covering of PTFE, silicone, a polyurethane layer. Nylon drawstring for removal or repositiong
Niti-S Oesophageal Double & Double Double Beta self-expanding metal stent made from Nitinol, with an antimigration outer uncovered wire construction to allow the mesh embed in the oesophageal wall. Also with anti reflux valve inner polyurethane layer, PTFE & silicone covering to prevent tumor ingrowth. String for retrieval or repositioning
Diameter: 10mm - 36mm Length: 60mm - 230mm
Diameter: 16-28mm Length: 40-200mm
$3,500.00
$3,500.00
WC246 Evolution Oesophageal Metal Stent Oesophogeal Self Expanding Metal Stent with
controlled release delivery system
8, 10, 12.5 and 15cm Lengths, 25mm flared ends with 20mm body or 23mm flared ends with 18mm body
$3,500.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
WC310 | Evolution Oesophageal Stent System (Fully covered) | Oesophageal self expanding metal stent with controlled release delivery system | Diameters:18 - 20mm Lengths: 80 - 120mm | $3,500.00 |
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3.6.3.4 - Biodegradable
ET077 ELLA BD Stent The ELLA BD Stent is a self-expanding biodegradable stent made of polydiaxanone designed to slowly degrade when in contact with living tissue. Full degradation of stent occurs within 11-12 weeks of implantation. It is designed for dilation and treatment of benign oesophageal lesions.
Stent body diameters=20mm-25mm; Stent flares diameters=25mm-31mm; Stent nominal length=60/80/100/135mm
$5,000.00
WC079 Zimmon Pancreatic Stent Single pigtail with radio-opaque band Diameter 4 - 10FR, Length 2 - 18cm $85.00
WC123 Geenen Pancreatic Stent Straight plastic pancreatic stent with or without
ductal flaps
Diameter 3 - 11.5 FR, length 2 - 20cm $85.00
BS289 Advanix Plastic Stent Plastic stent manufactured individually, indicated for the treatment of pancreatic strictures.
WC212 Zimmom Pancreatic Stent Single pigtail radio-opaque Polyethylene Stent
with or without ductal flaps
WC271 Geenen Sof-Flex Pancreatic Stent Straight plastic pancreatic stent with or without
ductal flaps
2 - 18cm length / 3 - 10 FR diameter $85.00
Diameter 3 - 7 FR, Length 3 - 18cm $85.00
Diameter 3 - 10 Fr; length 2 - 15cm $85.00
Boston Scientific Australia Pty Ltd
BS290 Advanix Plastic Stent and Pusher Kit Plastic stent manufactured, indicated for the
treatment of pancreatic strictures.
Delivery System in form of a pusher (short wire or long wire system specific).
2 - 18cm length / 3 - 10 FR diameter $145.00
Billing Code Product Name Description Size
03.06.04.01 - Self-expanding metal, Covered
Boston Scientific Australia Pty Ltd
Benefit
Benefit
Condition
BS310 | HANAROSTENT Pseudocyst | HANAROSTENT Biliary (Flange) Lasso (BCF Models). Self-expanding, nitinol | Diameter 8-16mm, Length 20-150mm | $4,000.00 |
BS313 | AXIOS | Stent and Delivery System for use in pseudocyst drainage. Self-expanding nitinol stent | Length 10mm, Lumen Diameter 10-15mm | $4,000.00 |
Pyramed Pty Limited
PY040 Niti-S Nagi and Spaxus Pancreatic,
Pseudocyst and Gall Bladder Drainage Stent
Fully Covered, self-expanding metal pancreatic pseudocyst intra-luminal drainage stent
Diameter: 8, 10,12,14,16mm Length: 1,2,3cm
$4,000.00
BS317 HOT AXIOS Stent with Electrocautery Enhanced Delivery System for use in pseudocyst drainage. Self- expanding nitinol stent
Length 8-10mm, Lumen Diameter 6-15mm $4,815.00
BS053 Wallstent Enteral Stent Monofilament wire, self-expanding stent Diameters up to 30mm & lengths up to 150mm $3,500.00
BS090 WallFlex Enteral Stent (Duodenal/Colonic)
Nitinol, self expanding stent Diameters up to 30mm & lengths up to 150mm $3,500.00
WC268 Evolution Enteral Metal Stent Enteral Metal Stent Diameter 22 to 25mm body; 27 to 30mm flanges. Length: 6 to 12cm
$3,500.00
BS304 HANAROSTENT HANAROSTENT Duodenum/Pylorus Kim’s Flare, HANAROSTENT Duodenum/Pylorus Lasso, HANAROSTENT Duodenum/Pylorus Lasso. Self-expanding nitinol duodenum/pylorus stent
Diameter 18-24mm, Length 60-180mm $3,500.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
BS305 | TwynLay | TwynLay Duodenum/Pylorus. Self-expanding nitinol duodenum/pylorus stent | Diameter 20mm, Length 60-150mm | $3,500.00 |
|
|
Pyramed Pty LimitedPY017 Niti-S Pyloric/Duodenal Stent Niti-S Pyloric self-expanding stent, covered and
uncovered, OTW or TTS
3.6.6 - Tracheobronchial Stents
Diameter: 16 - 28mm Length: 40 - 160mm $3,500.00
BS047 Ultraflex Tracheobronchial Stent Nitinol, self expanding stent Diameters up to 25mm & lengths up to 80mm $3,000.00
BS101 Polyflex Airway Stent Polyester braided material encapsulated with
silicone, self expanding stent
BS103 Dynamic (Y) Stent Bifurcated Tracheobronchial stent. Bronchial Limbs made of silicone and tracheal stem made of silicone with embedded stainless steel c- shape rings.
Diameters up to 25mm & lengths up to 80mm $3,000.00 Diameters up to 25mm & lengths up to 120mm $3,000.00
PY025 Niti-S Tracheal Stent Tracheal Nitinol Self Expanding Metal Stent,
ePTFE covered with retrieval suture
PY026 Niti-S Bronchial Stent Bronchial Nitinol Self Expanding Metal Stent,
Expanded Poly Tetra Fluoro Ethylene (ePTFE) covered, with retrieval suture
16mm to 20mm diameter x 3cm to 10cm length $3,000.00 10mm to 14mm diameter x 3cm to 6cm length $3,000.00
BS311 HANAROSTENT HANAROSTENT Trachea/Bronchial.
Covered trachea/bronchium stent, self- expanding nitinol
Length 30-80mm, Diameter 12-20mm $3,000.00
Billing Code Product Name Description Size
3.6.7 - Nerve Repair Stents
Benefit
Benefit
Condition
Integra Neurosciences Pty Ltd
IG002 NeuraGen NeuraGen is a semi-permeable Type 1 collagen tube for peripheral nerve repair. It provides a protective environment and conduit for axonal regrowth across a nerve gap. It is biocompatible and completely resorbed. The open collagen structure facilitates suture placement. It has a resilient structure that maintains an open lumen throughout the process of axonal growth.
IG003 NeuraWrap NeuraWrap nerve protector is designed to provide an interface between the nerve and the surrounding tissues. NeuraWrap remains in place during the active phase of tissue healing and is completely resorbed after tissue response has resolved. The porous outer layer of NeuraWrap comprises a tubular matrix that mechanically resists compression from surrounding tissue and excludes scar tissue ingrowth. The semi-permeable inner membrane allows passage of small molecules (ie water, ions, metabolites, nutrients) but prevents the escape of endogenous growth factors (Nerve Growth Factor). NeuraWrap provides a new alternative for the treatment of peripheral nerve injuries.
2mm x 2cm, 3mm x 2cm, 4mm x 2cm, 5mm x 2cm, 6mm x 2cm, 7mm x 2cm, 1.5mm x 3cm, 2mm x 3cm, 3mm x 3cm, 4mm x 3cm, 5mm x 3cm, 6mm x 3cm, 7mm x 3cm
3mm x 2cm, 3mm x 4cm, 5mm x 2cm, 5mm x 4cm, 7mm x 2cm, 7mm x 4cm, 10mm x 2cm, 10mm x 4cm
$1,500.00
$1,500.00
LM017 Neurotube Bioabsorbable nerve conduit made of polyglycolic acid
2.3mm - 8mm $1,500.00
LM080 Neurolac A bioresorbable tension-less Nerve repair guide 1.5mm x 3cm to 10.0mm x 3cm $1,500.00
3.7.1 - Drainage Catheters
ZQ005 Pleurx Pleurx Pleural Catheter Mini Kit Catheter 24cm x 15.5Fr $425.00
Billing Code Product Name Description Size
Medical Specialties Australia Pty Ltd
Benefit
Benefit
Condition
MS065 ASEPT Pleural Drainage System Indwelling tunnelled pleural catheter insertion
kit
15F x 66cm silicone catheter with fenestrations and cuff
$425.00
NG065 TRU-CLOSE THORACIC VENT Device for the treatment of spontanious,
traumatic or iatrogenic simple pneumothorax.Allowing for amubulation during resolution and the aspiration of small amount of fluids
Catheter outer diameter = 11 French, catheter length = 10cm
Catheter outer diameter = 11 French, catheter
length = 13cm
Catheter outer diameter = 13 French, catheter length = 10cm
Catheter outer diameter = 13 French, catheter
length = 13cm
$425.00
NG073 Redax Unico Percutaneous Drainage Kit
Reid HealthcareRH025 PleuraFlow® Active Clearance
Technology® (ACT)
Rocket Medical
Percutaneous Drainage Kit 9-12 CH $150.00
Pleural drainage catheter 20; 24; 28;32FR $425.00
RK001 Rocket IPC Pleural/Peritoneal
Tunnelled Catheter Insertion kit
Rocket IPC Pleural/Peritoneal Tunnelled Catheter Insertion kit with catheter
16fg x 69cm silicone catheter with cuff $180.00
WILLIAM A COOK AUSTRALIA PTY LTDWA001 | Thal-Quick Chest Tube Set | The set consists of introducer needle, wire guide, dilators, coaxial chest tube inserter and clear catheter with radiopaque strip. | 8-36 Fr, Length: 18-41cm | $150.00 |
WA002 | Fuhrman Pleural/Pneumopericardial Drainage Set | Percutaneous drainage kit. Components: Introducer needle, wire guide, dilator, radiopaque pigtail catheter, three-way stopcock, and multipurpose tubing adapter. | Catheter length 15cm, 6-10.2 Fr | $150.00 |
3.7.1.2 - Intraperitoneal
Boston Scientific Australia Pty Ltd
BS227 Flexima All-Purpose Drainage
Catheter
BS229 Flexima vanSonnenburg Sump
Catheter
BS230 Percuflex vanSonnenburg Sump
Catheter
All-purpose drainage catheters for abscesses and fluid collections.
Dual lumen catheters that drain cavity contents by application of suction
Dual lumen catheters that drain cavity contents by application of suction
Length up to 25cm $120.00
Length up to 35cm $425.00
Length up to 35cm $425.00
Billing Code Product Name Description Size
CareFusion Australia 316 Pty Ltd
Benefit
Benefit
Condition
ZQ004 Pleurx Pleurx Peritoneal Catheter Mini Kit Catheter 71.0cm x 15.5 Fr $425.00
Culpan Medical PtyCB016 Skater All-Purpose Drainage Catheter All-purpose drainage catheters for abscesses
and fluid collections
WILLIAM A COOK AUSTRALIA PTY LTD
Single Step Drainage Catheter w/Locking Pigtail
6Fx20cm, 6Fx25cm, 7Fx20cm, 7Fx25cm, 8Fx20cm, 8Fx25cm, 8Fx30cm, 10Fx20cm, 10Fx25cm, 10Fx30cm, 12Fx20cm, 12Fx25cm, 14Fx20cm, 14Fx25cm, 16Fx25cm Single Step Drainage Catheter w/Non-Locking Pigtail
6Fx20cm, 6Fx25cm, 7Fx20cm, 7Fx25cm,
8Fx20cm, 8Fx25cm, 8Fx30cm, 10Fx20cm, 10Fx25cm, 10Fx30cm, 12Fx20cm, 12Fx25cm, 14Fx20cm, 14Fx25cm, 16Fx25cm Drainage Catheter w/Locking Pigtail 6Fx25cm, 6Fx35cm, 7Fx25cm, 7Fx35cm, 8Fx25cm, 8Fx35cm, 10Fx25cm, 10Fx35cm, 12Fx25cm, 12Fx35cm, 14Fx25cm, 14Fx35cm, 16Fx25cm
Drainage Catheter w/Non-Locking Pigtail 6Fx25cm, 6Fx35cm, 7Fx25cm, 7Fx35cm, 8Fx25cm, 8Fx35cm, 10Fx25cm, 10Fx35cm, 12Fx25cm, 12Fx35cm, 14Fx25cm, 16Fx25cm
$425.00
WC315 Multipurpose Drainage Catheter Catheter used in a variety of drainage
applications
8.5-14 Fr, Length: 15-45cm $120.00
BS250 Flexima Biliary Drainage Catheter Biliary drainage catheters for drainage of the
biliary tree
BS251 Percuflex Biliary Drainage Catheter Biliary drainage catheters for drainage of the
biliary tree
Length up to 35cm $120.00
Length up to 15cm $120.00
Billing Code Product Name Description Size
Culpan Medical Pty
CB017 Skater Biliary Drainage Catheter Used for biliary drainage applications Biliary Drainage Catheter w/Locking Pigtail
8Fx40cm, 10Fx40cm, 12Fx40cm
Biliary Drainage Catheter w/Non-Locking Pigtail
8Fx40cm, 10Fx40cm, 12Fx40cm
Benefit
$120.00
Benefit
Condition
WILLIAM A COOK AUSTRALIA PTY LTD
WC317 Ultrathane Biliary Drainage Catheter Used for biliary drainage applications. 8.5-14 Fr, 40cm length $120.00
3.7.1.4 - Para/Thoraceulesis
ZQ010 Safe-T-Centesis Drainage system Safe-T-Centesis drainage for para/thoracentesis 6FR and 8FR pigtail catheter with Veress
technology
$150.00
ZQ011 Paracentesis/Thoracentesis Catheter
Drainage
3.7.2 - Endobronchial Valve
Thora/Paracentesis kit 8FR, 12cm polyurethane catheter $120.00
PX001 Pulmonx Valve intended to improve lung function in patients with heterogeneous emphysema by controlling air flow with a one-way valve and to treat patients with pulmonary air leak.
4.0 (4 to 7 mm) and 5.5 (5.5 to 8.5mm) $6,300.00
OL081 IBV Valve in Cartridge A one-way valve placed in the lung airway
intended to treat diseased lung in emphysematous patients or damaged lung resulting in air leaks by limiting airflow to selected areas.
5mm, 6mm, 7mm and 9mm $6,300.00
Billing Code Product Name Description Size
3.7.3 - Drainage Shunts, Peritineovenous
CareFusion Australia 316 Pty Ltd
Benefit
Benefit
Condition
ZQ008 | Denver Ascites Shunt, (PAK), Double-valved | Ascite Shunt - Double Valved Percutaneous Access Kit (PAK). A fenestrated peritoneal catheter, a venous catheter, and a flexible pump chamber containing two miter valves, provided with a Percutaneous Access Kit. | Double-valved, 42-2050 | $2,200.00 |
ZQ009 | Denver Ascites Shunt, (PAK), Single- valved | Ascites Shunt - Single Valved Percutaneous Access Kit (PAK). A fenestrated peritoneal catheter, a veneous catheter, and a flexible pump chamber containing one miter valve, provided with a Percutaneous Access Kit (PAK). | Single valved, 42-2055 | $2,200.00 |
3.8.1 - Adhesion Barriers
3.8.1.1 - Sheet ≤100cm2
Johnson & Johnson Medical Pty Ltd
JJ010 Interceed Absorbable Adhesion Barrier
Oxidized Regenerated Cellulose 7.6cm x 10.2cm $175.00
JJ464 Divide Absorbable Adhesion Barrier Oxidised regenerated cellulose 3.8 x 5.1cmm $175.00
3.8.1.2 - Sheet >100cm2
GE006 Seprafilm Adhesion Barrier Sodium hyaluronate carbomethylcellulose
membrane
13cm x 15cm $345.00
MQ034 C-QUR Film C-QURâ„¢ Film Adhesion Barrier is intended as an adjunct in abdominal and pelvic surgery for reducing the incidence, extent and severity of postoperative adhesions at the site of placement.
>100cm2 $345.00
Billing Code Product Name Description Size
Complex, Bioresorbable Endotherapeutics Pty Ltd
Benefit
Benefit
Condition
ET051 Surgiwrap Bio Absorbable Antiadhesion Barrier All sizes with and without suture holes $1,300.00
LMT Surgical Pty LtdLM084 Polyganics Vivosorb A bioresorbable co polyester sheet 2cm x 3cm to 13cm x 20cm $1,300.00
3.8.1.3 - Spray
BX260 ADEPT Adhesion Reduction Solution ADEPT Adhesion Reduction Solution is a
single use, sterile fluid for intraperitoneal administration. ADEPT is intended to be used as an instillate for the reduction of adhesions following abdominal surgery.
1500ml $250.00
JJ700 Ethicon Intercoat or Oxiplex/AP Absorabable Adhesion Barrier Gel
Lifehealthcare Pty LtdLH534 Oxiplex/AP Absorbable Adhesion
Barrier Gel
ComplexLifehealthcare Pty Ltd
LH001 Oxiplex Absorbable Adhesion Barrier Gel
LMT Surgical Pty Ltd
Combination of Polyethylene Oxide (PEO) and Sodium Carboxymethylcellulose stabilised with Calcium and made isotonic with Sodium Chloride. Kit contains 2 x 20ml Sterile Syringes, 1 x Applicator
Combination of Polyethylene Oxide (PEO) and Sodium Carboxylmethylcellulose stabilised with Calcium and made isotonic with Sodium Chloride. Kit contains 2 x 20ml Sterile syringes , 1 x Applicator
Oxiplex Absorbable Adhesion Barrier gel (Oxiplex is a co-polymer gel composed of carboxymethylcellulose and polyethylene.)
2 x 20ml Sterile Syringes, 1x Applicator $500.00
2 x 20ml Sterile Syringes, 1 x Applicator $500.00
3ml in sterile 3ml syringe $1,300.00
LM196 Dynavisc Absorbable adhesion barrier gel 1 ml $433.00
Billing Code Product Name Description Size
Medtronic Australasia Pty Ltd
Benefit
Benefit
Condition
MC618 Medishield Anti-Adhesion Gel MediShield Anti-Adhesion Gel is an adhesion
barrier gel for prevention of complications after spinal surgery. MediShield is a co-polymer gel composed of carboxymethylcellulose and polyethylene oxide.
3cc Syringe $1,300.00
Endotherapeutics Pty Ltd
ET082 PureRegen Gel Sinus PureRegen Gel Sinus is a gel adhesion barrier
comprised of a hyaluronic acid based hydrogel. The product does not contain any medicinal, human or animal components. It is removed from the application site by natural elimination.
2ml, 5ml, 6ml, 8ml, 10ml, 20ml. $125.00
Advanced Biomedical Pty Ltd
AB075 | BioGlue Surgical Adhesive - 2ml Syringe System | Model No BG3502-5-A (BioGlue Surgical Adhesive) | 2ml | $380.00 |
| Baxter Healthcare Pty Ltd |
|
| |
BX214 | TISSEEL Two Component Fibrin Sealant Syringe | Active ingedients:Sealer Protein Solution & Thrombin Solution - deep-frozen | 2.0 ml (containing 1.0 ml of Sealer Protein Solution and 1.0 ml of Thrombin Solution) | $380.00 |
BX283 | ARTISS Fibrin Sealant 2ml | ARTISS is a proprietary fibrin sealant with 4UI/ml human thrombin. It is two-component fibrin sealant made from pooled human plasma, a double virus-inactivated (vapour heated and solvent/detergent treated) and frozen (≤ -20°C) plasma derived biological agent. | The two components are formulated as two sterile frozen solutions. Each solution is presented in a separate pre-loaded chamber (1ml) of a double chamber syringe. One chamber contains sealer protein solution with aprotinin while the other chamber contains thrombin solution with calcium chloride, resulting in a 2ml total volume of product for use. | $380.00 |
Synthetic
Baxter Healthcare Pty Ltd
BX252 CoSeal Surgical Sealant Composition: two synthetic polyethelene
glycols (PEG's), COH102 and COH206, premixed and filled into one syringe, a dilute hydrogen chloride solution and a sodium phosphate/sodium carbonate solution
2ml $300.00
Billing Code Product Name Description Size
Johnson & Johnson Medical Pty Ltd
Benefit
Benefit
Condition
JJ576 Ethicon Omnex Surgical Sealant Omnex Surgical Sealant 0.5 ml $300.00
Maquet Australia Pty LtdMQ002 Histoacryl Pro-set OFX Histoacryl with applicator 0.5ml x 2 ampoules with applicator $300.00 MQ003 Histoacryl Surgical adhesive             0.5ml per ampoule             $300.00
MG038 Glubran 2 Synthetic cyanoacrylic surgical glue: N-Butyl
(2) cyanoacrylate and methacryloxysulfolane co- monomer
0.25 ml, 0.5 ml, 1 ml $300.00
Advanced Biomedical Pty Ltd
AB003 | BioGlue Surgical Adhesive - 5ml Syringe System | Model No BG3515-5-A (BioGlue Surgical Adhesive) | One size only | $700.00 |
| Baxter Healthcare Pty Ltd |
|
| |
BX215 | TISSEEL Two Component Fibrin Sealant Syringe | Active ingedients:Sealer Protein Solution & Thrombin Solution - deep-frozen | 4.0 ml (containing 2.0 ml of Sealer Protein Solution and 2.0 ml of Thrombin Solution) | $700.00 |
BX284 | ARTISS Fibrin Sealant 4ml | ARTISS is a proprietary fibrin sealant with 4UI/ml human thrombin. It is two-component fibrin sealant made from pooled human plasma, a double virus-inactivated (vapour heated and solvent/detergent treated) and frozen (≤ -20°C) plasma derived biological agent. | The two components are formulated as two sterile frozen solutions. Each solution is presented in a separate pre-loaded chamber (2ml) of a double chamber syringe. One chamber contains sealer protein solution with aprotinin while the other chamber contains thrombin solution with calcium chloride, resulting in a 4ml total volume of product for use. | $700.00 |
Synthetic
Baxter Healthcare Pty Ltd
BX253 CoSeal Surgical Sealant Composition: two synthetic polyethelene
glycols (PEG's), COH102 and COH206, premixed and filled into a syringe, a dilute hydrogen chloride solution and a sodium phosphate sodium carbonate solution
4ml $600.00
IG139 Vacuseal Vascular Sealant System 5ml Polymer Kit, Sterile, Single-use 1 kit/box $600.00
Billing Code Product Name Description Size
3.8.2.3 - Adhesive >5ml
Biological
Advanced Biomedical Pty Ltd
Benefit
Benefit
Condition
AB004 | BioGlue Surgical Adhesive - 10ml Syringe System | Model No BG3510-5-A (BioGlue Surgical Adhesive) | One size only | $1,400.00 |
| Baxter Healthcare Pty Ltd |
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| |
BX216 | TISSEEL Two Component Fibrin Sealant Syringe | Active ingedients:Sealer Protein Solution & Thrombin Solution - deep-frozen | 10.0 ml (containing 5.0 ml of Sealer Protein Solution and 5.0 ml of Thrombin Solution) | $1,400.00 |
BX285 | ARTISS Fibrin Sealant 10ml | ARTISS is a proprietary fibrin sealant with 4UI/ml human thrombin. It is two-component fibrin sealant made from pooled human plasma, a double virus-inactivated (vapour heated and solvent/detergent treated) and frozen (≤ -20°C) plasma derived biological agent. | The two components are formulated as two sterile frozen solutions. Each solution is presented in a separate pre-loaded chamber (5ml) of a double chamber syringe. One chamber contains sealer protein solution with aprotinin while the other chamber contains thrombin solution with calcium chloride, resulting in a 10ml total volume of product for use. | $1,400.00 |
Synthetic
Baxter Healthcare Pty Ltd
BX254 CoSeal Surgical Sealant Composition: two synthetic polyethelene
glycols (PEG's), COH102 and COH206, premixed and filled into a syringe, a dilute hydrogen chloride solution and a sodium phosphate sodium carbonate solution
8ml $1,120.00
Advanced Biomedical Pty Ltd
AB008 BioGlue Surgical Adhesive - Syringe Standard Applicator Tip
Bard Australia Pty Ltd
Model No BGAT-SY (BioGlue Surgical Adhesive)
Standard Applicator Tip $26.00
BA267 | Progel Platinum Surgical Sealant Spray Tip | Spray tip to be used in conjunction with Progel Platinum Surgical Sealant | 5cm (packs of 2) | $26.00 |
| Baxter Healthcare Pty Ltd |
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BX266 | TISSEEL DUPLOSPRAY MIS APPLICATOR REPLACEMENT TIPS | Two component Fibrin Sealant containing human derived fibrinogen and thrombin. | Packs of 10 sterile packs each containing 2 tips and an installation tool | $26.00 |
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
BX270 | COSEAL Applicator Tips 7 cm | COSEAL, which is listed on the Prostheses | A 7cm long applicator tip | $26.00 | ||
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| List, is a hydrogel that acts as a sealant by |
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| COSEAL is designed to completely seal suture |
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| lines along vascular reconstructions to prevent |
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| fluids from leaking. |
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Morton Surgical Pty Ltd ta Matrix Surgical CompanyMG034 Glubran 2 Applicators Dispensing tip/Drop control device for applying
Glubran 2.
5-6 and 7-8 French $26.00
Johnson & Johnson Medical Pty Ltd
JJ962 EVICEL Airless Spray Device Airless Spray Device One size only $62.00
Morton Surgical Pty Ltd ta Matrix Surgical CompanyMG036 Glubran 2 Spray Device Spray device for application of Glubran 2 32cm, 6.5cm, 5cm lengths $62.00
ExtenderAdvanced Biomedical Pty Ltd
AB009 BioGlue Surgical Adhesive - Syringe 10cm Extender
AB010 BioGlue Surgical Adhesive - Syringe 27CM Extender
AB076 BioGlue Surgical Adhesive - Spreader Tips
BA266 Progel Platinum Surgical Sealant Extender Spray Tip
Baxter Healthcare Pty LtdBX261 Tisseel Duplospray MIS Applicator
20cm
Model No BGAT-10-SY (BioGlue Surgical Adhesive)
Model No BGAT-27-SY (BioGlue Surgical Adhesive)
Spreader (extender) Tips (various sizes), (Pack of 3)
Extender Spray tip to be used in conjunction with Progel Platinum Surgical Sealant
Two component Fibrin Sealant containing human derived fibrinogen and thrombin.
10cm Extender $31.00
27cm Extender $31.00
12mm, 16mm $31.00
16cm, 29cm $31.00
A 20cm long dual lumen metal cannula $31.00
BX262 TISSEEL DUPLOCATH 180cm Two component Fibrin Sealant containing
human derived fibrinogen and thrombin.
A 180cm long double lumen flexible application catheter
$31.00
BX263 COSEAL Spray Accessory Kit A hydrogel that acts as a sealant by adhering to
itself and the tissues it contacts. COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking.
One size available $31.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
BX264 TISSEEL DUPLOTIP 20g x 26.4cm Two component Fibrin Sealant containing
derived fibrinogen and thrombin.
BX269 TISSEEL Easyspray Set Two component Fibrin Sealant containing
human derived fibrinogen and thrombin.
BX271 TISSEEL DUPLOTIP 20g x 10.4cm Two component Fibrin Sealant containing
human derived fibrinogen and thrombin.
A 26.4cm long dual umen applicator $31.00
One size $31.00
10.4cm long dual lumen applicator $31.00
BX272 TISSEEL DUPLOCATH 25cm Two component Fibrin Sealant containing
human derived fibrinogen and thrombin.
A 25cm long double lumen flexible application catheter
$31.00
BX274 TISSEEL DUPLOTIP 20G x 5.3cm Two component Fibrin Sealant containing
human derived fibrinogen and thrombin.
BX275 COSEAL Extended Applicator 22 cm COSEAL, which is listed on the Prostheses
List, is a hydrogel that acts as a sealant by adhering to itself and the tissues it contacts. COSEAL is designed to completely seal suture lines along vascular reconstructions to prevent fluids from leaking.
BX282 Floseal Special Applicator Tips Floseal Malleable and Trimmable Applicator
with Tips specifically designed for use with Floseal Haemostatic Matrix
A 5.3 cm long dual lumen applicator. $31.00
A 22 cm long malleable applicator $31.00
14cm $31.00
JJ910 Evicel 4cm Control Tip Evicel 4cm Control Tip 4cm $31.00
Morton Surgical Pty Ltd ta Matrix Surgical CompanyMG035 Glubran 2 Catheter for Laparoscopy Catheter for laparoscopic application of
Glubran 2.
One size only $31.00
AB065 BioGlue Delivery Tip Extension
(various sizes)
Baxter Healthcare Pty Ltd
Rigid Extender Tip (BGDTE range) 10cm, 27cm, 35cm $62.00
BX268 TISSEEL DUPLOCATH 35cm
MIC/MIS
Two component Fibrin Sealant containing human derived fibrinogen and thrombin.
A 35cm long double lumen flexible application catheter
$62.00
BX277 TISSEEL DUPLOSPRAY MIS
APPLICATOR 30 cm
Two component Fibrin Sealant containing human derived fibrinogen and thrombin.
A 30 cm long dual lumen metal cannula $62.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
BX279 | Coseal Duplospray Applicator 30cm | COSEAL, which is listed on the Prostheses | 30cm | $62.00 |
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| lines along vascular reconstructions to prevent |
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BX280 | Coseal Duplospray Applicator 20cm | COSEAL, which is listed on the Prostheses | 20 cm | $62.00 |
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Rigid Delivery SystemBaxter Healthcare Pty Ltd
BX265 TISSEEL DUPLOTIP 5mm x 31.8cm Two component Fibrin Sealant containing
human derived fibrinogen and thrombin.
A 31.8cm long dual lumen applicator $160.00
BX267 TISSEEL DUPLOSPRAY MIS
APPLICATOR 40 cm
Two component Fibrin Sealant containing human derived fibrinogen and thrombin, with or without a malleable tip.
A 40 cm long dual lumen metal cannula $160.00
BX273 Floseal Endoscopic Applicator Used as an adjunct to haemostasis when control
of bleeding by ligature or conventional surgical procedures is ineffective or impractical.
Morton Surgical Pty Ltd ta Matrix Surgical Company
A 41cm - 47cm long disposable cannulated applicator, with or without malleable tip.
$160.00
MG044 Gluban 2 Rigid Spray Device Rigid spray device for application of Gluban 2 40cm cannula $160.00
3.8.2.5 - Adhesive Peristrips
BX288 Peri-Strips Dry Model No PSD 4506 One size only $350.00
BX289 Peri-Strips Dry Model No PSD 6006 One size only $350.00
BX290 Peri-Strips Dry Model No PSD 4506 One size only $350.00
BX291 Peri-Strips Dry Model No PSD 8006 One size only $350.00
BX334 Peri-strips dry with Veritas Collagen Matrix Circular Staple Line Reinforcement
Peri-Strips Dry with Veritas is a remodelable material designed to increase staple line strength for surgical repair of soft tissue deficiencies
One circular stapler firing: 20-400mm diameter $350.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
BX335 | Peri-Strips dry with Veritas Collagen Matrix Linear Single Firing | Peri-Strips Dry with Veritas is a remodeable material designed to increase staple line strength for surgical repair of soft tissue deficiencies | 30-130mm | $350.00 |
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3.8.2.6 - Pleurodesis Powder
MY003 Steritalc Sterile granules of talc implanted in pleural space to act as permanent adhesive
3 grams & 4 grams $150.00
AS212 Veriset Veriset is an absorbable topical hemostatic device intended for use in surgical procedures as an adjunct to hemostatsis when conventional methods are ineffective or impractical. Veriset does not consist of any human or animal components
Takeda Pharmaceuticals Australia Pty LtdYN003 TachoSil TachoSil is a broad use haemostat for intra- operative tissue management. The TachoSil sponge is off-white, with yellow colouring on the active side (coated with fibrinogen and thrombin), and is ready to use (store at room temperature).
2cm x 4cm (8cm2) $79.00
One small patch: 3.0cm x 2.5cm $79.00
YN002 TachoSil TachoSil is a broad use haemostat for intra- operative tissue management. The TachoSil sponge is off-white, with yellow colouring on the active side (coated with fibrinogen and thrombin), and is ready to use (store at room temperature).
One medium patch: 4.8cm x 4.8cm $242.00
Billing Code Product Name Description Size
3.8.2.9 - Sponge >40cm²
Benefit
Benefit
Condition
Covidien Pty Ltd
AS213 Veriset Veriset is an absorbable topical hemostatic device intended for use in surgical procedures as an adjunct to hemostasis when conventional methods are ineffective or impractical. Veriset does not consist of any human or animal components.
Takeda Pharmaceuticals Australia Pty Ltd
5cm x 10cm (50cm2)
8 cm x 16 cm (128cm2)
$479.00
YN001 TachoSil TachoSil is a broad use haemostat for intra- operative tissue management. The TachoSil sponge is off-white, with yellow colouring on the active side (coated with fibrinogen and thrombin), and is ready to use (store at room temperature).
One large patch: 9.5cm x 4.8cm $479.00
BA265 Progel Platinum Surgical Sealant Progel Pleural Air Leak Sealant is a single use
device intended for application to visceral pleura.
4ml $835.00
BB294 Aesculap Ligating Clips Aesculap Ligating Clips- Ligation Clips
Titanium;
PL561T- Large; 6 clips/cartridge $12.00
BB297 Aesculap Ligating Clips Aesculap Ligating Clips Titanium PL565T - Small; 6 clips/cartridge $12.00 BB298 Aesculap Ligating Clips Aesculap Ligating Clips Titanium PL566T - small cardiopack of 24 $48.00 BB299 Aesculap Ligating Clips Aesculap Ligating Clips Titanium PL567T - medium; 6 clips/cartridge $12.00 BB300 Aesculap Ligating Clips Aesculap Ligating Clips Titanium PL568T - medium/large; 6 clips/cartridge $12.00
DE445 Vesocclude Ligating Clips Titanium Ligating Clips Small, Narrow (6 per cartridge), Small, wide
(6 per cartridge)
$12.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
DE446 | Vesocclude Ligating Clips | Titanium ligating Clips | Small, Narrow (24 per cartridge), Small, Wide (24 per Cartridge) | $48.00 |
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DE447 | Vesocclude Ligating Clips | Titanium ligating Clips | Medium (6 per cartridge) | $12.00 |
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DE448 | Vesocclude Ligating Clips | Titanium Ligating Clips | Medium (24 per cartridge) | $48.00 |
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DE449 | Vesocclude Ligating Clips | Titanium Ligating Clips | Medium Large (6 per cartridge) | $12.00 |
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DE450 | Vesocclude Ligating Clips | Titanium Ligating Clips | Medium large (24 per cartridge) | $48.00 |
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DE451 | Vesocclude Ligating Clips | Titanium Ligating Clips | Large (6 per cartridge) | $12.00 |
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DE452 | Vesocclude Ligating Clips | Titanium Ligating Clips | Large (24 per cartridge) | $48.00 |
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Johnson & Johnson Medical Pty Ltd | ||||||
JJ033 | Ligaclip* Ligating Clips - titanium | Titanium clips contained in a plastic cartridge | 3-5mm; 6 clips per cartridge | $12.00 |
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JJ034 | Ligaclip* Ligating Clips - titanium | Titanium clips contained in a plastic cartridge | 9-12 mm; 6 clips per cartage | $12.00 |
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JJ035 | Ligaclip* Ligating Clips - titanium | Titanium clips contained in a plastic cartridge | 3-5 mm; 20 clips per cartridge | $40.00 |
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LMT Surgical Pty Ltd | ||||||
LM042 | Synovis Microclip | Malleable titanium clip | 1.5-2.5mm x 2-3.5mm | $12.00 |
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Morton Surgical Pty Ltd ta Matrix Surgical Company | ||||||
MG030 | Haemostatic Ligating Clips | Titanium Ligating Clips | Small - Large (6 Clips per cartridge) | $12.00 |
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MG031 | Haemostatic Ligating Clips | Titanium Ligating Clips | Small, medium (24 clips per pouch) | $48.00 |
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MG045 | Everest Ligating Clip | Titanium clip | Small, Medium, Medium-Large, Large (6 per cartridge) | $12.00 |
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MG046 | Everest Ligating Clip | Titanium clip | Small, Medium (24 per cartridge) | $48.00 |
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| Olympus Australia |
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OL001 | Individual Ligating Clip | Rotatable Clip Fixing Device. Pack of 50 clips | MD-59 - 90 degree, standard; MD-850 - 135 degree, standard; HX-600-090 - standard, sterile; HX-600-135 - standard, sterile | $100.00 |
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| Reid Healthcare |
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RH006 | Vitalitec Titanium Hemostatic Clips | The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically. | Micro, Small, Small/Medium, Medium, Medium/Large and Large. 6 clips per cartridge | $12.00 |
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RH007 | Vitalitec Titanium Hemostatic Clips | The SLS titanium (grade 1) hemostatic clips are designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically. | Small & Medium Clips (24 clips per pouch - 6 clips per cartridge, 4 cartridges per pouch) | $48.00 |
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Billing Code Product Name Description Size
Benefit
Benefit
Condition
RH008 Vitalitec Titanium Hemostatic Clips The SLS titanium (grade 1) hemostatic clips are
designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically.
RH009 Vitalitec Titanium Hemostatic Clips The SLS titanium (grade 1) hemostatic clips are
designed to securely grip the vessel in order to provide a complete and final occlusion atraumatically.
Micro, Small, Small/Medium, Medium (9 clips per cartridge)
Small and Medium (27 clips per pouch - 9 clips per cartridge, 3 cartridges per pouch)
$18.00
$54.00
TX006 Horizon Ligating Clips Ligation Clips Titanium Small (6 per cartridge) $12.00 TX007 Horizon Ligating Clips Ligation Clips Titanium             Small (24 per cartridge)             $48.00
TX008 Horizon Ligating Clips Ligation Clips Titanium Medium (6 per cartridge), Micro (6 per
cartridge)
$12.00
TX009 Horizon Ligating Clips Ligation Clips Titanium Medium (24 per cartridge) $48.00 TX010 Horizon Ligating Clips Ligation Clips Titanium Medium/Large (6 per cartridge) $12.00 TX011 Horizon Ligating Clips Ligation Clips Titanium Medium/Large (24 per cartridge) $48.00 TX012 Horizon Ligating Clips Ligation Clips Titanium Large (6 per cartridge) $12.00 TX013 Horizon Ligating Clips Ligation Clips Titanium Large (24 per cartridge) $48.00
TX014 Hemoclip Titanium Clips Small, Medium (25 per cartridge); Large (15 per cartridge)
$30.00
TX015 Hemoclip Titanium Clips Medium (10 per cartridge) $20.00
TX016 Hemoclip Titanium Clips Small (10 per cartridge) $20.00
TX017 Hemoclip Titanium Clips Med-large (10 per cartridge) $20.00
TX018 Hemoclip Titanium Clips Large (10 per cartridge) $20.00
TX019 EZLoad Ligating Clips Titanium Clip Small (25 per cartridge); Med-Large, Large (10 per cartridge)
$50.00
TX020 EZLoad Ligating Clips Titanium Clip Medium (25 per cartridge) $50.00
TX021 EZLoad Ligating Clips Titanium Clip Small, Medium (10 per cartridge) $20.00
Double ShankB Braun Australia Pty Ltd
BB344 | DS Titanium Ligation Clips | Double shank titanium clip | Medium, Medium large (6 clips per cartridge) | $15.00 |
| Double Shank With Latch |
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BB345 | B Braun Australia Pty Ltd DS Titanium Ligation Clips |
Double shank titanium clip |
Medium large with latch (6 clips per cartridge) |
$30.00 |
Billing Code Product Name Description Size
Polymeric Non-resorbable Teleflex Medical Australia
Benefit
Benefit
Condition
TX023 Hem-o-Lok Polymer Non-Absorbable
Ligating Clip
Hem-o-lok Medium (M), Medium-Large (ML)
and Large (L) Polymer Clips
Small, Medium, Medium-Large, Large (6
clips/cartridge)
$46.00
TX025 Hem-o-lok Polymer Non-Absorbable Ligating Clip
Hem-o-lok Extra-large (XL) Polymer Clips Extra-large (XL) (6 clips/cartridge) $46.00
JJ036 Absolok* Extra Absorbable Ligating Clips
3.8.3.2 - Clip Applier
Polydioxanone clips contained in a plastic cartridge
Small to Extralarge $94.00
LV081 Open Clip Applier Titanium 25 medium size titanium clips $145.00
Reid HealthcareRH012 Cor-Knot® Device Kit The Cor-Knot Device kit contains two Cor
Knot devices which deliver and crimp a titanium fastener around a suture placed using routine suture placement techniques, trimming any excess suture tails
Each kit contains two Cor- Knot sterile devices $290.00
RH021 Cor-Knot Mini Device Kit The Cor-Knot Mini Device Kit contains two
Cor-Knot Mini Devices which deliver and crimp a titanium fastener around a suture placed using routine suture placement techniques, trimming any excess suture tails.
3.8.3.3 - Clips with Disposable Applier
2 x Cor-Knot Mini Sterile Devices (14cm length shaft) in each kit
$290.00
ET064 AMI HAL-RAR Flexi Procedure Kit Doppler guided Haemorrhoidal Arterial
Ligation and Recto-Anal Repair System. HAL Haemorrhoidal Ligating sutures, doppler/ultrasound proctoscope, flexiprobe, knot pusher
One size, several components $980.00
Billing Code Product Name Description Size
Doppler Guided, Endoscopic
Medical Specialties Australia Pty Ltd
Benefit
Benefit
Condition
MS056 THD Slide Transanal Haemorrhoidal Dearterilisation and Pexis System
one size only $980.00
Boston Scientific Australia Pty Ltd
BS082 Resolution Clip Device Pre-loaded endoscopically applied clip,
radiopaque stainless steel & cobalt chrome.
BS299 Resolution 360 Clip Device Radiopaque, single-use clip pre-loaded on a
flexible, rotatable delivery system
7Fr, 11mm jaw opening $145.00
7Fr, 11mm jaw opening $145.00
AK007 Hemoclip Clip Applicator A device consisting of, a plastic handle with
thumb ring and slider, a 230cm hollow plastic tube with metal clip in at the distal end.
Applicator length 230cm, clip length sizes 4mm, 5mm and 6mm with clip opening sizes of 90 degree to 135 degree
$80.00
LV144 DuraClipâ„¢ Repositionable Hemostasis Clip
Olympus Australia
A single use repositionable hemostasis clip which is intended to be used for placement within the gastrointestinal tract.
165cm Length and 235cm Length $145.00
OL009 Rotatable Clip fixing device Disposable pre-loaded clip applier Standard or long clip length, 9 or 11mm jaw
opening
$145.00
OL010 Ligation device Disposable pre-assembled applier and ligating loop
WILLIAM A COOK AUSTRALIA PTY LTD
Sheath Length 1650-2300mm $145.00
WC311 Instinct Endoscopic Hemoclip Endoscopic hemoclip used within the GI tract Opening span up to 16mm. $145.00
Endoscopic, OTS Endotherapeutics Pty LtdET067 OTSC Clip The OTSC Clip is a superelastic Nitinol clip
which compresses the tissue between its teeth. Therefore it enables hemostasis as well as closing of perforations
OTSC Clip is available in three sizes: 9mm,
10mm and 11mm
$950.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
ET068 | OTSC System | Has two components: 1. The OTSC Clip is a superelastic Nitinol clip which compresses the tissue between its teeth; enables hemostasis as well as closing performations. | OTSC Clip is available in three sizes: 9mm, 10mm and 11 mm. Ovesco Twin Graspers : 165mm or 220mm Ovesco Anchor: 165mm | $3,000.00 |
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| 2. Grasping and Anchoring Tool. Ovesco Twin Graspers – to approximate wound edges.. Ovesco Anchor- to grasp fibrous tissue or fistulas |
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LaparoscopicApplied Medical Australia Pty Ltd
MH014 Direct Drive laparoscopic clip applier with TiGold titanium clips
Single-use, sterile 10mm laparscopic clip applier with 20 medium-large size titanium clips
10mm shaft diameter with medium-large size clips.
$412.00
MH015 Epixâ„¢ Disposable Laparoscopic Clip Applier w/ TiGold M/L titanium clips
Epixâ„¢ Disposable Laparoscopic Clip Applier w/ TiGold M/L titanium clips 5mm
5mm $412.00
CK003 Endox Visu-Loc Clip Applier Single-use laparoscopic clip applier Medium, Large $412.00
ConMed Linvatec Australia Pty LtdLV076 Reflex ELC 530 Automatic Clip
Applier
Titanium Endoscopic Clip Applier Medium/Large, 10mm, 20 Clips $412.00
LV086 Reflex 5mm Automatic Clip Applier Autofeeding disposable clip applier. Contains
15 non absorbable polymer locking clips
medium/large $145.00
AS073 ENDOCLIP*; Acuclip Single use
Endoscopic Multiple Clip Applier.
Titanium Surgical Stapler 5mm (12 clips); One size only. $412.00
AS074 ENDOCLIP* Titanium Surgical Stapler 10mm (ML, M, L)-(20 clips) $412.00 AS137 Endo Clip III Laparoscopic 5mm Clip Applier             5mm             $412.00
JJ186 Ligaclip Endoscopic Multiclip Metal/plastic stapler with titanium clips 10-12 mm shaft diameter, medium to large clip $412.00
JJ482 LIGAMAX 5mm Endoscopic Clip
Applier
Teleflex Medical Australia
LIGAMAX 5mm Endoscopic Clip Applier Medium / Large $412.00
TX024 Weck Hem-o-lok Hem-o-lok Automatic Endo Applier 15 Clips per applier $412.00
Billing Code Product Name Description Size
Open
Covidien Pty Ltd
Benefit
Benefit
Condition
AS006 Ligation Clips - Disposable clip
applier and ligating clips
AS131 Ligation Clips - Disposable clip
applier and ligating clips
AS132 Ligation Clips - Disposable clip
applier and ligating clips
Surgiclip Small $250.00
Surgiclip Medium $250.00
Surgiclip Large $250.00
JJ037 Ligaclip* Multiple Clip Applier Metal/plastic applier preloaded with titanium
clips
JJ038 Ligaclip* Multiple Clip Applier Metal/plastic applier preloaded with titanium
clips
JJ039 Ligaclip* Multiple Clip Applier Metal/plastic applier preloaded with titanium
clips; reloadable
3-12 mm; 20 clips per applier $250.00
3-12 mm; 30 clips per applier $250.00
5-6mm; 20 clips per applier $250.00
TX022 Hemoclip Plus Ligation System Small and Medium 15 small preloaded clips and 20 medium
preloaded clips
$250.00
BB016 Challenger Ligating Clips Challenger Ligating Clips Titanium Multifire Medium-large $65.00 BB301 Challenger Ligating Clips Challenger Ligating Clips Titanium Multifire             PL572T - small/medium             $65.00
BB321 Pneumatic Challenger Multifire Clips Challenger TI-P SM-Ligat. Clips 12 Cartridge
(PL574T) Challenger TI-P ML-Ligat. Clips 12 Cartridge (PL579T)
small-medium, medium-large $65.00
CK001 Microline Pentax Disposable 10ml
Titanium K2 Clip Cartridge
CK002 Microline Pentax Disposable 10ml
Titanium K2 clip Cartridge
Covidien Pty LtdAS001 Endoclip Disposable Loading Unit;
MultApplier Disposable loading unit.
Disposable cartridge containing 19 surgical grade titanium clips delivered using a re-usable hand piece applier
Disposable cartridge containing 10 surgical grade titanium clips delivered using a reusable hand piece applier.
Single use loading unit with 8 titanium clips; Disposable clip cartridge with 8 titanium clips
medium/large clip $65.00
Medium/Large Clip $65.00
One size only $65.00
Billing Code Product Name Description Size
Johnson & Johnson Medical Pty Ltd
Benefit
Benefit
Condition
JJ040 Ligaclip* 20/20 Reload Unit Metal reload cartridge containing titanium clips 5 mm; 20 clips $65.00
3.8.3.5 - Sutures
ET065 HAL-RAR HAL-Ligating Suture, AMI HAL-Ligating suture, prosthetic component of AMI HAL- RAR Doppler System
One size $100.00
BS225 Speedband Superview Super 7 Multiple Band Ligator 7 bands per unit, compatible with scopes with
outer diameter of 8.6mm - 11.5mm
$275.00
DE482 SmartBand Ligation Kit Ligation band kit. 6 bands preloaded on applier. One size. 6 bands per unit, compatible with
gastroscopes 8.6.mm to 11.6mm in diameter.
$275.00
GR001 EndoChoice Autoband Ligator Endoscopic band ligation device including
seven pre-loaded bands to fit gastroscopes with an outer diameter of 8.6-11.5mm
One size (7 bands) to fit gastroscopes with an outer diameter of 8.6-11.5mm
$275.00
HB001 Haemoband A preloaded, single use, 4 band ligator for haemorrhoids.
WILLIAM A COOK AUSTRALIA PTY LTD
1 size, 4 bands $53.00
WC314 Saeed Multi-band Ligator Multiple Band Ligator 4, 6 or 10 bands per unit, compatible with
scopes with outer diameter of 8.6mm - 14mm
$275.00
WC318 ShortShot Saeed Hemorrhoidal Multi- Band Ligator
3.8.3.7 - Cinched suture applierEmergo Asia Pacific Pty Ltd
ER279 OverStitchTM Endoscopic Suturing
System
The ShortShot Saeed Haemorrhoidal Multi- Band Ligator is used to ligate internal haemorrhoids and is available with or without the TriView Anoscope.
Needle Driver, Anchor Exchange and Tissue Helix Device
4 bands per ligator, 15mm in diameter $65.00
1 size only $2,155.00
Billing Code Product Name Description Size
3.8.3.8 - Suture with cinch
Endoscopic System
Emergo Asia Pacific Pty Ltd
Benefit
Benefit
Condition
ER280 OverStitchTM Endoscopic Suturing System - 2.0 Suture
Endoscopic Polyproprylene Suture with Cinch 2-0 suture $308.00
DE473 SmartBand Ligation Pack SmartBand Ligation Re-Load Pack One Size. 6 bands per unit for re-load.
Compatible with gastroscopes 8.6mm to 11.6mm Diameter.
$110.00
AS013 ILA* 52 Reloading Unit Titanium. Multifire 60 Cartridge 90 Premium
Disposable Loading Unit with Titanium Staples, 50 Premium Disposable Loading Unit with Titanium Staple, Inverted Linear Anastomosis Cartridges 3944, 3943, 3978,
3946, 3945, 3976, 3977
AS016 GIA*, ILA* Reloading Unit Titanium. Multifire 60 Cartridge, Inverted
Linear Anastomosis Cartridges 3944, 3943,
3978, 3946, 3945, 3976, 3977
AS017 GIA*, ILA* Reloading Unit Titanium. Multifire 60 Cartridge, Inverted
Linear Anastomosis Cartridges 3944, 3943,
3978, 3946, 3945, 3976, 3977
50 - 60mm (2.5mm, 3.8mm) $244.00
90mm (3.8, 4.8mm) $244.00
100mm (3.8,4.8mm) $244.00
AS025 TA* Reloading Units; DST Series*
Linear Stapler Disposable Loading Units
Premium Multifire TA* Disposable Surgical Stapler and Loading Unit; Titanium staples used for hemostatic closure of specific organs and blood vessels (ex bowel, stomach and lung)
30mm (2.5, 3.5, 4.8mm); DST TA90-3.5 DLU; DST TA90-4.8 DLU; DST TA45-3.5 DLU; DST TA45-4.8 DLU; DST TA60-3.5 DLU; DST TA60-4.8 DLU; DST TA30-3.5 DLU; DST TA30-4.8 DLU; DST TA30V3 DLU.
$244.00
AS026 PI*, Reloading Unit Premium Multifire TA* Disposable Surgical Stapler and Loading Unit
AS030 TA* Reloading Units Premium Multifire TA* Disposable Surgical
Stapler and Loading Unit
30mm (2.5, 3.5, 4.8mm) $244.00
90mm (3.5mm, 4.8mm) $244.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
AS076 | ENDO TA* reloading unit | Titanium Surgical Stapler DLU | 30mm -2.5, 30mm-3.5 | $244.00 |
|
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AS081 | ENDO GIA* reloading unit | Titanium Surgical Stapler DLU | 30 - 35mm; 45mm; 60mm. | $244.00 |
|
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AS092 | ENDO - Herna reloading unit; VERSA TACK* reloading unit. | Titanium Surgical Stapler DLU | 4mm, 4.8mm (10 staples). | $244.00 |
|
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AS114 | DST Series* GIA* Linear Cutter Stapler and single use loading units | Single Use Loading Units | 60mm length: Sizes 2.5mm, 3.8mm, 4.8mm | $244.00 |
|
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AS116 | DST Series* GIA* Linear Cutter Stapler and single use loading units | Single Use Loading Units | 80mm length: Sizes 3.8 and 4.8mm | $244.00 |
|
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AS118 | DST Series* GIA* Linear Cutter Stapler and single use loading units | Single use loading units | 100mm length: Size 3.8 and 4.8mm | $244.00 |
|
|
Getz Healthcare Pty Ltd | ||||||
ME199 | Purple Surgical Ultimate reloadable linear cutter stapler - reloads | These are the reloads for the Purple Surgical Ultimate reloadable linear cutter stapler (Prostheses List application ref. #YAKI- ES5W). The reloads are available in 60mm, 80mm, and 100mm staple line lengths for use in different applications. Two staple sizes (3.8mm and 4.8mm) are available to accommodate different tissue thicknesses. | 60mm, 80mm, and 100mm staple line lengths. 3.8mm and 4.8mm staple sizes. | $244.00 |
|
|
ME204 | Purple Surgical Ultimate reloadable linear stapler with indicator - reloads | These are the reloads for the Purple Surgical Ultimate reloadable linear stapler with indicator (Prostheses List application ref. #U5HR-3R6S). The reloads are available in 30mm, 45mm, 60mm, and 90mm staple line lengths for use in different applications. Two staple sizes (3.5mm and 4.8mm) are available to accommodate different tissue thicknesses. | 30mm, 45mm, 60mm, and 90mm staple line lengths. 3.5mm and 4.8mm staple sizes. | $244.00 |
|
|
Johnson & Johnson Medical Pty Ltd | ||||||
DY539 | EES Linear Cutter | Single Use Loading Units | 55mm | $244.00 |
|
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DY540 | EES Linear Cutter | Single Use Loading Units | 75mm | $244.00 |
|
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JJ046 | Proximate* Linear Cutter Staple Reload Unit | Plastic linear cutter reload cartridge containing titanium staples | 50 - 60mm | $244.00 |
|
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JJ047 | Proximate* Linear Cutter Staple Reload Unit | Plastic linear cutter reload cartridge containing titanium staples | 75 - 80mm | $244.00 |
|
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JJ048 | Proximate* Linear Cutter Staple Reload Unit | Plastic linear cutter reload cartridge containing titanium staples | 100mm | $244.00 |
|
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JJ053 | Proximate* Linear Stapler Reload Unit | Plastic linear stapler reload cartridge containing titanium staples | 30mm | $244.00 |
|
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Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
JJ054 | Proximate* Linear Stapler Reload Unit | Plastic linear stapler reload cartridge containing titanium staples | 55 - 60mm | $244.00 |
|
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JJ055 | Proximate* Linear Stapler Reload Unit | Plastic linear stapler reload cartridge containing titanium staples | 90mm | $244.00 |
|
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JJ190 | Endopath ETS Linear Cutter reload | Titanium staple cartridge | 45mm | $244.00 |
|
|
JJ192 | Endopath ETS Linear Cutter reload | Titanium staple cartridge | 35mm | $244.00 |
|
|
MD Solutions Australasia Pty Ltd | ||||||
MB010 | Panther Linear Stapler, Panther Linear Cutter Stapler and reloads | The PANTHER SSAB surgical stapler and SADB Reloading Staples Unit place two double staggered rows of titanium staples & simultaneously cut and divided tissue between the two double rows. The stapler is available in 60mm, 80mm, and 100mm lengths, and in two staple sizes, 3.8mm and 4.8mm to accommodate various tissue thickness. Each stapler may be reloaded up to 7 times for a total of 8 firings on one patient in one operation. | FLSL Linear Stapler/Reloading Unit 30mm 3.5/4.8mm; 45mm 3.5/4.8mm; 60mm 3.5/4.8mm; 90mm 3.5/4.8mm staple height. SSAB Linear Cutter Stapler/Reloading unit 60mm 3.8/4.8mm; 80mm 3.8/4.8mm; 100mm 3.8/4.8mm height | $244.00 |
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| Medical & Optical Technologies |
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OB003 | Touchstone Linear Cutter Stapler Cartridge (Reloads) 80mm | A disposable staple cartridge used in conjunction with a matched Touchstone Linear Cutter Stapler that lays a double staggered row of staples on each side a cutting knife. Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures. | 80mm length in staple line with choice of 3.8mm, 4.2mm and 4.5mm titanium staples | $244.00 |
|
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OB006 | Touchstone Linear Cutter Stapler Cartridge (Reloads) 100mm | A disposable staple cartridge used in conjunction with a matched Touchstone Linear Cutter Stapler that lays a double staggered row of staples on each side a cutting knife. Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures. | 100mm length in staple line with choice of 3.8mm and 4.5mm titanium staples | $244.00 |
|
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N Stenning & Co Pty LtdNG062 Frankenman Linear Stapler Reloads Linear stapler single use reload with titanium
staples
NG064 Frankenman Linear Cutter Reloads Single use, linear cutter reload cartridge
containing titanium staples
32mm; 46mm; 60mm; 90mm $244.00
61mm; 81mm; 100mm $244.00
CurvedJohnson & Johnson Medical Pty Ltd
JJ475 | Proximate Contour Curved | Contour Curved Cutter/Stapler 30 & 40mm | Blue (3.85mm) & Green (4.5mm) | $263.00 |
| Cutter/Stapler | reload cartridges |
|
|
Billing Code Product Name Description Size
Endoscopic, Articulating/Roticulating Covidien Pty Ltd
Benefit
Benefit
Condition
AS186 Endo GIAâ„¢ Reload with TriStapleâ„¢
Technology
Covidien's Endo GIAâ„¢ Reload with
TriStapleâ„¢ Technology provides outstanding performance across a broader range of tissue thickness,
thereby simplifying the cartridge selection process. With its stepped cartridge face, TriStapleâ„¢ Technology delivers graduated compression, optimising interaction between the tissue and the stapler
30mm, 45mm, 60mm $375.00
DE472 Endowrist Stapler 45 Endowrist Stapler 45 White Reload, 45 Blue Reload, 45 Green Reload
Length of reload: 45mm
Staple height: 2.5mm, 3.5mm, 4.3mm
$375.00
ME201 Purple Surgical Ultimate endoscopic linear cutter stapler reloading units, straight
The Purple Surgical Ultimate endoscopic linear cutter stapler reloading units, straight, are for single patient use only, and are used in conjunction with the Purple Surgical Ultimate endoscopic linear cutter stapler universal handles. A single use reloading unit can be replaced up to 24 times on the same universal handle, during the same procedure. The endoscopic linear cutter stapler straight reloading unit is compatible with the endoscopic linear cutter stapler universal handles and are available in 30mm, 45mm, and 60mm staple length options, and in three staple sizes, 2.5mm, 3.5mm, and 4.8mm, to accommodate various tissue thicknesses. Each endoscopic linear cutter stapler reloading unit is single use.
30mm, 45mm, and 60mm staple lengths. 2.5mm, 3.5mm, and 4.8mm staple sizes.
$375.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
ME205 Purple Surgical Ultimate endoscopic linear cutter stapler reloading units, articulating
The Purple Surgical Ultimate endoscopic linear cutter stapler reloading units, articulating, are for single patient use only, and are used in conjunction with the Purple Surgical Ultimate endoscopic linear cutter stapler universal handles. A single use reloading unit can be replaced up to 24 times on the same universal handle, during the same procedure. The endoscopic linear cutter stapler articulating reloading unit is compatible with the endoscopic linear cutter stapler universal handles and are available in 30mm, 45mm, and 60mm staple length options, and in three staple sizes, 2.5mm, 3.5mm, and 4.8mm, to accommodate various tissue thicknesses. Each endoscopic linear cutter stapler reloading unit is single use.
30mm, 45mm, and 60mm staple lengths. 2.5mm, 3.5mm, and 4.8mm staple sizes.
$375.00
Johnson & Johnson Medical Pty LtdJJ564 Echelon Endocutter Reload Echelon Endocutter Reload 60 and 45mm $375.00
MN190 ENDOPATH ECHELON Vascular
Staple Reload
ENDOPATH ECHELON Vascular Staple Reload
35mm $375.00
Johnson & Johnson Medical Pty LtdDY541 | EES Linear Cutter | Single use, reloadable stapler | Length 55mm | $80.00 |
DY542 | EES Linear Cutter | Single Use, reloadable stapler | Length 75 mm | $80.00 |
Endoscopic Covidien Pty Ltd
AS134 DST Series EEA Or Vil Accessory 21mm, 25mm $415.00
Johnson & Johnson Medical Pty LtdJJ896 Endopath Linear Cutter Metal/plastic cutter-stapler with titanium staples 45mm; long shaft $415.00
JJ903 Echelon Endocutter Multifire disposable surgical stapling instrument 60mm and 45mm
60mm and 45mm $415.00
Billing Code Product Name Description Size
Endoscopic, Articulating/Roticulating Covidien Pty Ltd
Benefit
Benefit
Condition
AS046 Endo GIA* Universal Stapling
System; Versafire GIA*.
Multifire 30 disposable stapler with titanium
staples; Disposable surgical stapling instruments or cartridges.
12mm; One size only. $415.00
JJ892 Endopath Linear Cutter Metal/plastic cutter-stapler with titanium staples 45mm; short shaft $415.00 JJ894 Endopath Linear Cutter Metal/plastic cutter-stapler with titanium staples             45mm; long shaft             $415.00
JJ904 Echelon Flex Endocutter Articulating Multifire disposable surgical
stapling instrument 60mm and 45mm
Endoscopic, Articulating/Roticulating, Powered Johnson & Johnson Medical Pty Ltd
60mm and 45mm $415.00
MN134 Powered ECHELON FLEXâ„¢
ENDOPATH Endocutter
Powered, articulating, endoscopic linear cutter 45 or 60 mm lengths $520.00
MN191 ENDOPATH ECHELON Powered
Vascular Stapler
3.8.4.3 - Staples, Reinforcer
Powered, articulating, endoscopic, vascular linear cutter
35mm $520.00
GT224 GORE SEAMGUARD®
Bioabsorbable Staple Line Reinforcement
As packaged, GORE SEAMGUARD Bioabsorbable Staple Line Reinforcement constitutes preformed porous bioabsorbable sheets held into the form of sleeves (one cartridge device, one anvil device) through the use of a non-absorbable polyester braided suture. A TYVEKR insert, which is removed and discarded after positioning on the stapler, is included to facilitate the placement of the device onto the jaws of the surgical staplers. After deployment of the stapler/reinforcement material combination, the non-absorbable suture component is removed and discarded. The implanted GORE SEAMGUARD Bioabsorbable Staple Line reinforcement is a porous fibrous structure composed solely of synthetic bioabsorbable poly (glycolide; trimethylene carbonate) copolymer.
Ethicon Endo-Surgery Endopath ETS45; Ethicon Endo-Surgery Endopath ETS45; Ethicon Endo-Surgery Endopath EZ45; Ethicon Endo-Surgery Endopath Echelon 45, Ethicon Endo-Surgery Endopath Echelon 60; Ethicon Endo-Surgery Endopath ETS Flex 60; USS Endo GIA Universal Straight 45; USS Endo GIA Universal Roticulator 45; USS Endo GIA Universal Straight 45; USS Endo GIA Universal Roticulator 45; USS Endo GIA Universal Straight 60; USS Endo GIA Universal Roticulator 60; USS Endo GIA Universal Straight 60; Endo GIA Universal Roticulator 60
$230.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
GT228 | GORE SEAMGUARD® | As packaged, GORE SEAMGUARD | Ethicon Endo-Surgery ENDOPATH 25 and | $230.00 |
|
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| Bioabsorbable Staple Line | Bioabsorbable Staple Line Reinforcement | PROXIMATE 25; Ethicon Endo-Surgery |
|
|
|
| Reinforcement, Endoscopic Staplers | constitutes preformed | ENDOPATH 29 and PROXIMATE 29; |
|
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| Ethicon Endo-Surgery ENDOPATH 33 and |
|
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| ||
PROXIMATE 33; Autosuture CEEA 25; |
|
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| |||
Autosuture CEEA 28; Autosuture CEEA 31; |
|
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| |||
Autosuture CEEA 34; Autosuture DST Series |
|
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WILLIAM A COOK AUSTRALIA PTY LTDWC304 Biodesign Staple Line Reinforcement Used for reinforcement of the gastric staple line
during bariatric surgical procedures and also for buttressing staple lines during lung resection
Complex 3D shape, lengths 60 - 160mm and widths 11 - 12mm
$230.00
Covidien Pty Ltd
AS209 Endo GIA Reinforced Reload with
Tri-Staple Technology
The Endo GIA Reinforced Reload with Tri- Staple Technology is an endoscopic stapler reload pre-attached with a non-woven absorbable polyglycolic acid staple line reinforcement mesh. This reinforced reload places a triple-staggered row of titanium staples and two layers of absorbable reinforcement material on either side of the cut line.
45mm and 60mm $605.00
AS011 GIA*, ILA* Staplers Titanium 75mm (3.8mm, 4.8mm) $370.00
AS018 TA* Stapler; DST Series* Linear
Staplers
Premium Multifire TA* Disposable Surgical Stapler and Loading Unit; Titanium staples used for hemostatic closure of specific organs
and blood vessels (ex bowel, stomach and lung).
DST TA60-3.5; DST TA60-4.8 $370.00
AS019 PI*, Stapler Premium Multifire TA* Disposable Surgical Stapler and Loading Unit
30mm (2.5, 3.5, 4.8mm) $370.00
AS033 Power Stapler and Staples (Powered
LDS*)
LDS Instrument & Cartridges (Disposable Loading Unit)
One size only $370.00
AS102 DST Series* Linear Staplers Titanium staples used for hemostatic closure of
specific organs and blod vessels (ex bowel, stomach and lung)
DST TA90-3.5; DST TA90-4.8 $370.00
AS110 DFS Disposable Fascia Stapler Stainless Steel One Size Only $370.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
AS113 DST Series* GIA* Linear Cutter
Stapler and single use loading units
AS115 DST Series* GIA* Linear Cutter
Stapler and single use loading units
AS117 DST Series* GIA* Linear Cutter
Stapler and single use loading units
single use, reloadable stapler 60mm length: sizes 2.5mm, 3.8mm, 4.8mm $370.00
Single use, reloadable stapler 80mm length; Sizes 3.8 and 4.8mm $370.00
Single use, reloadable stapler 100mm length: Sizes 3.8 and 4.8mm $370.00
AS133 TA* Stapler; DST Series* Linear
Staplers
Endotherapeutics Pty Ltd
Premium Multifire TA* Disposable Surgical Stapler and Loading Unit; Titanium staples used for hemostatic closure of specific organs
and blood vessels (ex bowel, stomach and lung).
30mm (2.5, 3.5, 4.8mm); DST TA45-3.5; DST TA45-4.8; DST TA30-3.5; DST TA30- 4.8; DST TA30V3.
$370.00
ET066 Insorb Subcuticular Stapler A subcuticular (dermal) surgical delivery
system loaded with resorbable staples/prostheses
Each staple is 5mm x 3mm $370.00
ME198 Purple Surgical Ultimate reloadable linear cutter stapler
The Purple Surgical Ultimate reloadable linear cutter stapler can be applied in abdominal, gynecological, and thoracic surgical procedures for resection, transection, and creation of anastomosis.The Purple Surgical Ultimate reloadable linear cutter staplers are single patient use devices and are supplied sterile. The Purple Surgical Ultimate reloadable linear cutter stapler places two double staggered rows of titanium staples and simultaneously cuts and divides the tissue between the two double rows. The Purple Surgical Ultimate reloadable linear cutter stapler is available in 60mm, 80mm, & 100mm staple length options, and in two staple sizes, 3.8mm and 4.8mm, to accommodate various tissue thicknesses. Each Purple Surgical Ultimate reloadable linear cutter stapler may be reloaded up to 7 times for a maximum total of 8 firings on one patient.
60mm, 80mm, and 100mm staple line lengths. 3.8mm and 4.8mm staple sizes.
$370.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
ME203 Purple Surgical Ultimate reloadable
linear stapler with indicator
The Purple Surgical Ultimate linear stapler with indicator can be applied in abdominal, thoracic, and further surgical procedures for transection or resection of tissue. The Purple Surgical Ultimate linear stapler with indicator places a double staggered row of titanium staples and is available in 30mm, 45mm, 60mm, and 90mm staple line lengths for use in different applications. Two staple sizes (3.5mm and 4.8mm) are available to accommodate different tissue thicknesses. Each linear stapler with indicator can be reloaded up to 7 times for a total maximum 8 firings on one patient.
30mm, 45mm, 60mm, and 90mm staple line lengths.
3.5mm and 4.8mm staple sizes .
$370.00
Johnson & Johnson Medical Pty LtdJJ043 Proximate* Linear Cutter with Staples Metal/Plastic linear cutter preloaded with
titanium staples
JJ044 Proximate* Linear Cutter with Staples Metal/Plastic linear cutter preloaded with
titanium staples
JJ045 Proximate* Linear Cutter with Staples Metal/Plastic linear cutter preloaded with
titanium staples
JJ049 Proximate* Linear Stapler Metal/Plastic linear stapler preloaded with
titanium staples
JJ050 Proximate* Linear Stapler Metal/Plastic linear stapler preloaded with
titanium staples, manual closure
JJ051 Proximate* Linear Stapler Metal/Plastic linear stapler preloaded with
titanium staples, automatic closure
JJ052 Proximate* Linear Stapler Metal/Plastic linear stapler preloaded with
titanium staples
50 - 60mm $370.00
75 - 80mm $370.00
100mm $370.00
30mm $370.00
55 - 60mm $370.00
55 - 60mm $370.00
90mm $370.00
OB002 Touchstone Linear Cutter Stapler
80mm
OB005 Touchstone Linear Cutter Stapler
100mm
A device that incorporates a disposable staple cartridge that lays a double staggered row of staples on each side of a cutting knife. Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures.
A device that incorporates a disposable staple cartridge that lays a double staggered row of staples on each side of a cutting knife. Used for extensive bowel, gastric, gynaecological and thoracic surgical stapling procedures.
80mm length in staple line with choice of 3.8mm, 4.2mm and 4.5mm titanium staples
100mm length in staple line with choice of 3.8mm and 4.5mm titanium
$370.00
$370.00
Billing Code Product Name Description Size
N Stenning & Co Pty Ltd
Benefit
Benefit
Condition
NG061 Frankenman Linear Cutter Stapler Single use, reloadable, linear cutter stapler
containing titanium staples
61mm; 81mm; 100mm $370.00
NG063 Frankenman Linear Stapler Linear stapler preloaded with titanium staples 32mm; 46mm; 60mm; 90mm $370.00
Articulating/Roticulating Covidien Pty LtdAS035 Roticulator* Roticulator 30 30mm (3.5, 4.8mm) $770.00
AS036 Roticulator* Roticulator 55 55mm (3.5, 4.8mm) $770.00 AS037 ROTICULATOR* Polysorb 55 Disposable Loading Unit             55mm (3.5, 4.8mm)             $770.00
JJ056 Proximate Articulating Linear Stapler Articulating linear stapler preloaded with
titanium staples
55mm $770.00
MN197 Endopath Linear Cutter Metal/plastic cutter-stapler 35 to 45mm, including long and short shaft $770.00
CircularConMed Linvatec Australia Pty Ltd
LV135 | Touchstone Circular Stapler | A surgical implanting device for placing s specific size of double staggered row of titanium staples in a circular fashion in the large bowel, small bowel or oesophagus to maintain function of the digestive tract. A suitable size is used to match the lumen size of the patient's digestive tract | External dimension - 21mm, 25mm, 29mm or 33mm | $754.00 |
LV136 | Touchstone Prolapse Haemorrhoid Stapler | A surgical implanting device for placing a specific size of double staggered row of titanium staples in a circular fashion in the Anal and/or Rectal region for the circumferential excision of the prolapsed distal rectal muscosa, as described by Dr. Longo, Italy. | 33mm and 36mm | $754.00 |
Covidien Pty Ltd
AS179 EEA Haemorrhoid and Prolapse
Stapler
Stapling instrument for control of rectal prolapse and haemorrhoid disease.
33mm Circular Stapling line, 3.5 mm and 4.8mm Staple leg length.
$754.00
Billing Code Product Name Description Size
Getz Healthcare Pty Ltd
Benefit
Benefit
Condition
ME200 | Purple Surgical Ultimate haemorrhoidal circular stapler | The Purple Surgical Ultimate haemorrhoidal circular stapler and accessories have application throughout the anal canal to perform the surgical treatment of haemorrhoidal disease. The Purple Surgical Ultimate haemorrhoidal circular stapler places a circular staggered double row of titanium staples in the tissue and resects excess tissue to create a circular anastomosis. Each Purple Surgical Ultimate haemorrhoidal circular stapler comes with 5 accessories: clear circular anal dilator, clear butterfly anal dilator, anal dilator obturator, purse-string suture anoscope, and a suture threader. There are 2 stapler diameters available; 32/33mm and 33/34mm. | 32/33mm and 33/34mm. | $754.00 |
ME202 | Purple Surgical Ultimate circular stapler | The Purple Surgical Ultimate circular staplers can be applied throughout the alimentary tract to create end-to-end, end-to-side, and side-to- side anastomosis. The Purple Surgical Ultimate circular stapler places a staggered circular, double row of titanium staples in the tissue and resects the excess tissue, to create a circular anastomosis. The instrument can be activated when the handle is squeezed firmly as far as it can go. There are 5 diameters available, 24mm, 26mm, 29mm, 32mm, and 34mm with colour coded anvil heads. | 24mm, 26mm, 29mm, 32mm, and 34mm. | $754.00 |
Johnson & Johnson Medical Pty Ltd
JJ443 Proximate Intraluminal Stapler PPH Proximate Hemorrhoidal Circular Stapler PPH One Size Only $754.00
Medical & Optical TechnologiesOB004 Touchstone Circular Stapler A surgical implanting device for placing s
specific size of double staggered row of titanium staples in a circular fashion in the large bowel, small bowel or oesophagus to maintain function of the digestive tract. A suitable size is used to match the lumen size of the patient's digestive tract
External dimension - 21mm, 25mm, 29mm or 33mm
$754.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
OB007 Touchstone Prolapse Haemorrhoid
Stapler
N Stenning & Co Pty Ltd
A surgical implanting device for placing a specific size of double staggered row of titanium staples in a circular fashion in the Anal and/or Rectal region for the circumferential excision of the prolapsed distal rectal muscosa, as described by Dr. Longo, Italy.
33mm and 36mm $754.00
NG059 Frankenman Circular Stapler Curved intraluminal stapler preloaded with
titanium staples.
21mm; 25mm; 28mm; 32mm $754.00
NG060 Frankenman Haemorrhoidal (CPH)
Stapler
Curved
Circular stapler for rectal prolapse and haemorrhoids preloaded with titanium staples
Outside diameter: 32.5mm; 34.5mm $754.00
JJ812 CONTOUR Curved Cutter Stapler Curved cutter and stapler for gastrointestinal
transaction and resection.
40mm $650.00
Covidien Pty Ltd
AS075 ENDO TA* Titanium Surgical Stapler 30mm $550.00
AS077 ENDO GIA* Titanium Surgical Stapler 30 - 35mm $550.00
Johnson & Johnson Medical Pty LtdJJ184 Endopath Multi Stapler Endoscopic titanium stapler with staples 11mm shaft diameter $550.00 JJ895 Endopath Linear Cutter Metal/plastic cutter-stapler with titanium staples 45mm; long shaft $550.00 JJ898 Endopath Linear Cutter Metal/plastic cutter-stapler with titanium staples 35mm $550.00
Covidien Pty Ltd
AS072 Staples and Disposable Stapler
Applier and staples; PPCEEA*.
Titanium, curved, PPCEEA*; Titanium Surgical Stapler.
21-34mm; 21, 25, 28, 31, 34mm. $780.00
AS119 DST Series* EEA* Circular Stapler Circular staplers 21mm to 33mm $780.00
AS135 DSTâ„¢ Series EEAâ„¢ XL Circular Stapler 5 sizes $780.00
Johnson & Johnson Medical Pty LtdJJ041 Proximate* Intraluminal Stapler Metal/plastic circular straight stapler preloaded
with titanium staples
JJ042 Proximate* Intraluminal Stapler Metal/plastic circular curved stapler preloaded
with titanium staples
21 - 33 mm $780.00
21 - 33mm $780.00
Billing Code Product Name Description Size
MD Solutions Australasia Pty Ltd
Benefit
Benefit
Condition
MB011 Panther Circular Stapler The Panther circular stapler places circular,
double staggered rows of titanium staples in the tissue and resects the excess tissue to create a circular anastomosis. The instrument is activated when handle is squeezed firmly. There are five diameters which are able to be deployed form the device - 24mm, 26mm, 29mm, 32mm, or 34mm
There are five sizes of the FCLWBE and FCSME: 24mm, dual safety; 26mm, dual safety; 29mm, dual safety; 32mm, dual safety and 34mm, dual safety
$780.00
Covidien Pty LtdAS091 | VERSA TACK* stapler | Titanium Surgical Stapler | 4, 4.8mm (10 staples) | $272.00 |
AS095 | STATTACKâ„¢ | STATTACKâ„¢ Titanium Helical Tacker | One size only | $272.00 |
Absorbable
Bard Australia Pty Ltd
BA204 SorbaFix Open of Laparoscopic Absorbable Fixation System.
BA269 Bard Absorbable Fixation System Open or Laparoscopic Absorbable Fixation
System
15 Fasteners; 30 Fasteners $550.00 30 Absorbable Fastners, 15 Absorbale Fastners $550.00
AS246 ABSORBATACK Absorbable Fixation Device 5mm $550.00
Johnson & Johnson Medical Pty LtdMN115 SECURESTRAP™ 5mm Absorbable Strap Fixation Device 5mm $550.00 MN175 SECURESTRAP Open Open Absorbable Strap Fixation Device             Strap length 6.7mm             $550.00
Covidien Pty Ltd
AS227 ReliaTack Articulating Reloadable
Fixation Device
EndoscopicBard Australia Pty Ltd
Articulating, reloadable, sterile, single use fixation device prepackaged with 30 standard single use, absorbable reloads
5.1mm, 30 tacks $770.00
BA203 Fixation Anchor Set Open or Laparoscopic Permanent Fixation System.
15 Fasteners; 30 Fasteners $435.00
Billing Code Product Name Description Size
Covidien Pty Ltd
Benefit
Benefit
Condition
AS045 | PROTACK*; Endoscopic Tacker | Endoscopic; Titanium Surgical Tacker | 20 tacks; 30 tacks; 5mm; 4mm, 4.8mm (10 | $435.00 |
| Device; ENDO UNIVERSAL* |
| staples). |
|
3.8.4.6 - Suture Fasteners
Reid Healthcare
RH013 | Cor-Knot®Quick Load single | The Cor-Knot®Quick Load houses one sterile Cor-Knot®Titanium Fastener for use with the Cor-Knot®device kit | One size | $60.00 |
RH014 | Cor-Knot®Quick Load 6 Pouch | The Cor-Knot®Quick load 6 contains six single sterile Cor-Knot® Titanium Fasteners for use with the Cor-Knot® device kit | One size | $360.00 |
3.8.4.7 - Tacks, Reload
10 Tacks, Absorbable Covidien Pty Ltd
$375.00
5 Tacks, Absorbable Covidien Pty Ltd
$188.00
3.8.4.8 - Adhesive Tackers
Lifehealthcare Pty Ltd
$550.00
03.08.05 - Polypropylene/Polyester Mesh
B Braun Australia Pty LtdBB088 | Premilene Mesh | Polypropylene | 3x10cm | $80.00 |
BB089 | Premilene Mesh | Polypropylene | 4.5x10cm | $80.00 |
BB090 | Premilene Mesh | Polypropylene | 4.5x10cm | $80.00 |
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
BB091 | Premilene Mesh | Polypropylene | 4.5x10cm | $80.00 |
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BB092 | Premilene Mesh | Polypropylene | 5x30cm | $80.00 |
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BB093 | Premilene Mesh | Polypropylene | 6x14cm | $80.00 |
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BB094 | Premilene Mesh | Polypropylene | 6x13.5cm | $80.00 |
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BB095 | Premilene Mesh | Polypropylene | 7.5x7.5cm | $80.00 |
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BB096 | Premilene Mesh | Polypropylene | 4.5x105cm | $80.00 |
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BB097 | Premilene Mesh | Polypropylene | 7.5x15cm | $80.00 |
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BB098 | Premilene Mesh | Polypropylene | 10x10cm | $80.00 |
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BB099 | Premilene Mesh | Polypropylene | 6x14cm | $80.00 |
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BB100 | Premilene Mesh | Polypropylene | 10x15cm | $80.00 |
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BB181 | OPTILENE MESH | Polypropylene Mesh | 5x30cm, 5 pieces | $80.00 |
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BB183 | OPTILENE MESH | Polypropylene Mesh | 7.5x7.5cm, 5 pieces | $80.00 |
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BB186 | OPTILENE MESH | Polypropylene Mesh | 5 x 10cm, 5 pieces | $80.00 |
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BB187 | OPTILENE MESH | Polypropylene Mesh | 10 x 15cm, 5 pieces | $80.00 |
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BB188 | OPTILENE MESH | Polypropylene Mesh | 4.5x10cm, 5 pieces | $80.00 |
|
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BB189 | OPTILENE MESH | Polypropylene Mesh. | 7.5 x 15cm, 5 pieces | $80.00 |
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BB190 | OPTILENE MESH | Polypropylene Mesh | 4.5x10cm | $80.00 |
|
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BB191 | OPTILENE MESH | Polypropylene Mesh | 6x14cm, 5 pieces | $80.00 |
|
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Bard Australia Pty Ltd | ||||||
BA070 | Bard Mesh | Flat mesh | 2.5x10cm, 4.5x10cm, 5x10cm, 6x13.7cm, 7.5x15cm, 10x15cm, 5x30.5cm | $80.00 |
|
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| Covidien Pty Ltd |
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AS055 | Mesh Polyproplene; Monofilament Polyproplylene. | Multifilament Polypropylene; Monofilament Polypropylene. | 7.6cm x 12.7cm Surgipro* mesh (3 x 5 inch) | $80.00 |
|
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AS057 | Mesh Polyproplene; Monofilament Polyproplylene. | Multifilament Polypropylene; Monofilament Polypropylene. | 2.5cm x 10.2cm Surgipro* mesh (1 x 4 inch) | $80.00 |
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AS164 | Parietex Multifilament Polyester Mesh | Parietex-Multifilament Polyester Standard Mesh/Bidimensional rigid, Three dimensional | 13 x 09 cms, 15 x 10 cms | $80.00 |
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AS172 | Mesh Polyproplene; Monofilament Polyproplylene; SURGIPRO* Non Absorbable Monofilament Polypropylene Mesh | Multifilament Polypropylene; Monofilament Polypropylene; SURGIPRO, Non-Asborbable Polypropylene Monofilament Mesh. | 15.3cm x 15.3cm Surgipro* mesh (6 x 6 inch); SPMM46: 10.2cm x 15.3cm (4 x 6 inch). | $80.00 |
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Billing Code Product Name Description Size
Benefit
Benefit
Condition
AS174 Parietene-Monofiliment Polypropylene Mesh
AS175 Parietene-Monofiliment Polypropylene Mesh
Parietene-Monofiliment Polypropylene standard mesh/light mesh
Parietene-Monofiliment Polypropylene standard mesh/light mesh
6 x 11cm, 15 x 10, 15 x 15cm $80.00
15 x 10cm $80.00
AS232 Versatexâ„¢ monofilament macroporous polyester mesh
EMT Healthcare Pty Ltd
Versatexâ„¢ Monofilament Mesh is a non- absorbable synthetic surgical mesh made out of a macroporous three-dimensional (3D) monofilament polyester knitted textile offered in rectangular and square flat sheet. The mesh is intended for the repair of abdominal wall hernias or other fascial deficiencies that require the addition of a reinforcing material.
Rectangular 11 x 6 cm,
Rectangular 15 x 10 cm
$80.00
EM021 Biomesh P1/P3 Reinforcement Mesh Macro porous 100% polypropylene mesh for
laproscopic and open surgical approaches
EM023 Biomesh P1/P3 Reinforcement Mesh Macro porous 100% polypropylene mesh for
laproscopic and open surgical approaches
EM024 Biomesh P1/P3 Reinforcement Mesh Macro porous 100% polypropylene mesh for
laproscopic and open surgical approaches
EM025 Biomesh P1/P3 Reinforcement Mesh Macro porous 100% polypropylene mesh for
laproscopic and open surgical approaches
Johnson & Johnson Medical Pty LtdJJ174 Prolene Mesh Small polypropylene monofilament non absorbable mesh
JJ175 Prolene Mesh Medium polypropylene monofilament non absorbable mesh
JJ177 Prolene Mesh Small keyhole polypropylene monofilament non absorbable mesh
JJ178 Prolene Mesh Large keyhole polypropylene monofilament non absorbable mesh
8 x 13cm $80.00
2.3 x 10cm $80.00
5 x 10cm $80.00
7 x 15cm, 10 x 15cm $80.00
2.5cm x 10cm $80.00
7.6cm x 15cm $80.00
4.6cm x 10.2cm $80.00
6cm x 13.7cm $80.00
JJ566 PROLENE Mesh Polypropylene Mesh 10 x 15cm $80.00
MN181 PROLENEâ„¢ Soft Polypropylene
Mesh
Nonabsorbable Synthetic Surigcal Mesh >200cm2 $80.00
MQ025 Atrium polypropylene mesh Polypropylene mesh 0-200cm² $80.00
Billing Code Product Name Description Size
Anti-inflammatory
Maquet Australia Pty Ltd
Benefit
Benefit
Condition
MQ022 C-QUR Mesh Sterile, knitted polypropylene monofilament mesh material for tissue reinforcement with a coating derived from a biological oil composed of fatty acids, lipids and glycerides (BAO - Bioabsorbable Oil Coating)
0 - 200cm2 $755.00
Bard Australia Pty Ltd
BA224 Bard Mesh Kugel Patch 8x12cm oval; 9.5x13cm oval; 11x14oval; 8cm circle; 10.2cm circle; 12cm circle;
$350.00
Alliance Surgical
AA016 4D - DOME SEMI ABSORBABLE
HERNIA MESH
ContouredCovidien Pty Ltd
4D DOME semi absorbable bio mesh for abdominal reinforcement inguinal, femoral and incisional hernias
2.4, 9 x 5 cm
3.0, 9 x 5 cm
3.8, 9 x 5 cm
$350.00
AS243 Parietex Multifilament Polyester Mesh Parietex Multifilament Polyester Mesh 12 x 8 cm; 13 x 9 cm; 14 x 9 cm; 14 x 10
cm; 15 x 10 cm; 16 x 12 cm
$205.00
JJ180 Prolene Hernia System BI-LAYER POLYPROPYLENE NON
ABSORBABLE
MEDIUM TO EXTENDED $205.00
JJ413 Prolene *3D Patch Polypropylene Mesh
JJ414 Prolene *3D Patch Polypropylene Mesh
JJ415 Prolene *3D Patch Polypropylene Mesh
Sterile Three-dimensional device consisting of a flat mesh onlay patch secured to a formed expandable diamond-shaped mesh patch component.
Sterile Three-dimensional device consisting of a flat mesh onlay patch secured to a formed expandable diamond-shaped mesh patch component.
Sterile Three-dimensional device consisting of a flat mesh onlay patch secured to a formed expandable diamond-shaped mesh patch component.
5.49cm x 12.50cm 3DPatch large with preshaped overlay
5.49cm x 12.50cm 3D Patch with medium preshaped overlay
5.49cm x 12.50cm 3D Patch medium with extended overlay
$205.00
$205.00
$205.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
JJ416 | Prolene *3D Patch Polypropylene Mesh | Sterile Three-dimensional device consisting of a flat mesh onlay patch secured to a formed expandable diamond-shaped mesh patch component. | 5.49cm x 12.50cm 3D Patch large with extended overlay | $205.00 |
|
|
Contoured, Without FixationBard Australia Pty Ltd
BA222 Bard 3D Max Mesh 3D Mesh Medium left, Medium Right, large Left, Large Right
$263.00
B Braun Australia Pty LtdBB101 | Premilene Mesh | Polypropylene | 15x15cm | $85.00 |
BB184 | OPTILENE MESH | Polypropylene Mesh | 15x15cm, 5 pieces | $85.00 |
Bard Australia Pty Ltd
BA157 Bard Mesh Flat Mesh 15X15cm $85.00
Covidien Pty LtdAS122 Parietene-Monofilament Polypropylene mesh
AS165 Parietex Multifilament Polyester Mesh Anatomical
AS170 Parietex-Multifilament Polyester
Mesh
AS173 Mesh Polyproplene; Monofilament
Polyproplylene; SURGIPRO* Non Absorbable Monofilament Polypropylene Mesh
AS176 Parietene-Monofilament Polypropylene Mesh
Parietene-Monofilament Polypropylene standard mesh / light mesh
Parietex-Multifilament Polyester Standard Mesh/Bidimensional Rigid, Three dimensional
Parietex-Multifilament Polyester Standard Mesh/Bi-dimensional, Bi-dimensional Rigid, Three dimensional
Multifilament Polypropylene; Monofilament Polypropylene; SURGIPRO, Non-Asborbable Polypropylene Monofilament Mesh.
Parietene-Monofilament Polypropylene standard mesh/light mesh
20 x 20 cm $85.00
15 x 15 cms $85.00
20 x 20cm $85.00
15.3cm x 15.3cm Surgipro* mesh (6 x 6 inch) $85.00
15 x 15cm $85.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
AS234 | Versatexâ„¢ monofilament | Versatexâ„¢ Monofilament Mesh is a non- | Square 15x15 cm, | $85.00 |
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| macroporous polyester mesh | absorbable synthetic surgical mesh made out of | Square 20x20 cm |
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| a macroporous three-dimensional (3D) |
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| monofilament polyester knitted textile offered |
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| in rectangular and square flat sheet. The mesh is |
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| intended for the repair of abdominal wall |
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| hernias or other fascial |
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| deficiencies that require the addition of a |
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| reinforcing material. Largest sizes from 15 cm x |
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| 15 cm include a green dyed monofilament |
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| polyester (D&C Green No. 6) marking that is |
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| positioned in the center of the textile to help |
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| center and orient the mesh. |
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EMT Healthcare Pty LtdEM022 Biomesh P1/P3 Reinforcement Mesh Macro porous 100% polypropylene mesh for
laproscopic and open surgical approaches
Johnson & Johnson Medical Pty Ltd
15 x 15cm $85.00
JJ222 | Prolene Mesh - medium | Constructed of knitted filaments of extruded | Medium - 6" x 6" | $85.00 |
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| polypropylene identical to that used in Prolene |
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| suture. Material is approx. 0.027mm thick. |
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| Non-absorbable mesh for tension free-inguinal |
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| hernia techniques. |
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MN162 | PROLENE Soft Polypropylene Mesh | Nonabsorbable Synthetic Surgical Mesh | 201 - 400cm2 | $85.00 |
Maquet Australia Pty LtdMQ004 Atrium polypropolene mesh - surgical mesh
Anti-inflammatoryMaquet Australia Pty Ltd
Polypropolene 15cm x 15cm $85.00
MQ024 C-QUR Mesh Sterile, knitted polypropylene monofilament mesh material for tissue reinforcement with a coating derived from a biological oil composed of fatty acids, lipids and glycerides (BAO - Bioabsorbable Oil Coating)
201 - 400cm2 $955.00
CoatedBard Australia Pty Ltd
BA084 Bard Mesh Kugel Patch Large Oval 14 x 18cm $555.00
Billing Code Product Name Description Size
Contoured, Without Fixation Bard Australia Pty Ltd
Benefit
Benefit
Condition
BA223 Bard 3D Max Mesh 3D Mesh Extra Large Left, Extra Large Right $300.00
3.8.5.3 - 401-600cm²
BB182 OPTILENE MESH Polypropylene Mesh 20x30cm, 5 pieces $229.00
Anti-inflammatoryMaquet Australia Pty Ltd
MQ023 C-QUR Mesh Sterile, knitted polypropylene monofilament mesh material for tissue reinforcement with a coating derived from a biological oil composed of fatty acids, lipids and glycerides (BAO - Bioabsorbable Oil Coating)
401 - 600cm2 $1,625.00
BB102 Premilene Mesh Polypropylene 26x36cm $275.00
BB103 Premilene Mesh Polypropylene 30x30cm $275.00 BB185 OPTILENE MESH Polypropylene Mesh             30x30cm, 5 pieces             $275.00
BA158 Bard Mesh Flat Mesh 25x35.5cm $275.00
Covidien Pty LtdAS056 Mesh Polyproplene; Monofilament
Polyproplylene.
Multifilament Polypropylene; Monofilament Polypropylene.
35.6cm x 22.9cm Surgipro* mesh (14 x 9 inch).
$275.00
AS123 Parietene-Monofilament Polypropylene mesh
AS171 Parietex-Multifilament Polyester
Mesh
Parietene-Monofilament Polypropylene standard mesh / light mesh/ X-shaped mesh
Parietex-Multifilament Polyester Standard Mesh/Bi-dimensional, Bi-dimensional Rigid, Three dimensional
30 X 30 cm, 30 x 32 cm $275.00
30 x 30cm $275.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
AS221 Versatexâ„¢ monofilament macroporous polyester mesh
Versatexâ„¢ Monofilament Mesh is a non- absorbable synthetic surgical mesh made out of a macroporous three-dimensional (3D) monofilament polyester knitted textile and designed to ensure a long term reinforcement of soft tissues. Versatexâ„¢ Monofilament Mesh is offered in rectangular and square flat sheet. The mesh is intended for the repair of abdominal wall hernias or other fascial deficiencies that require the addition of a reinforcing material. Largest sizes from 15 cm x 15 cm include a green dyed monofilament polyester (D&C Green No. 6) marking that is positioned in the center of the textile to help center and orient the mesh.
Square 30x30 cm, Rectangular 45x30 cm $275.00
Johnson & Johnson Medical Pty LtdJJ172 Mersilene Mesh Non-absorbable polyester mesh 30cm x 30cm $275.00
JJ176 Prolene Mesh Large polypropylene monofilament non absorbable mesh
30cm x 30cm $275.00
MN180 PROLENEâ„¢ Soft Polypropylene
Mesh
Non-absorbable Synthetic Surgical Mesh >600cm2 $275.00
MQ026 Atrium polypropylene mesh Polypropylene mesh >600cm² $275.00
Anti-inflammatoryMaquet Australia Pty Ltd
MQ015 C-QUR Mesh Sterile, knitted polypropylene monofilament mesh material for tissue reinforcement with a coating derived from a biological oil composed of fatty acids, lipids and glycerides (BAO - Bioabsorbable Oil Coating)
>600cm² $3,370.00
Billing Code Product Name Description Size
03.08.05.05 - ≥2500cm²
Benefit
Benefit
Condition
Covidien Pty Ltd
AS240 Versatexâ„¢ monofilament macroporous polyester mesh
Versatexâ„¢ Monofilament Mesh is a non- absorbable synthetic surgical mesh made out of a macroporous three-dimensional (3D) monofilament polyester knitted textile offered in rectangular and square flat sheet. The mesh is intended for the repair of abdominal wall hernias or other fascial
deficiencies that require the addition of a reinforcing material. Largest sizes from 15 cm x 15 cm include a green dyed monofilament polyester (D&C Green No. 6) marking that is positioned in the center of the textile to help center and orient the mesh.
Square 50x50 cm $645.00
MN186 PROLENE Soft Polypropylene Mesh Nonabsorbable Synthetic Surgical Mesh ≥2500cm² $645.00
03.08.06 - Composite Mesh
JJ240 VYPRO II Mesh Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn. Partly absorbable lightweight mesh for tension free-inguinal hernia techniques
JJ241 VYPRO II Mesh Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn. Partly absorbable lightweight mesh for tension free-inguinal hernia techniques
JJ242 VYPRO II Mesh Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn. Partly absorbable lightweight mesh for tension free-inguinal hernia techniques
Small 6 x 11cm $95.00
Medium 12 x 10cm $95.00
Large 15 x 10cm $95.00
JJ465 ULTRAPRO Mesh ULTRAPRO Mesh S3 6 x 11cm $95.00
JJ466 ULTRAPRO Mesh ULTRAPRO Mesh P3 10 x 12cm $95.00
JJ467 ULTRAPRO Mesh ULTRAPRO Mesh N3 10 x 15cm $95.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
JJ565 | ULTRAPRO Mesh | Composite Mesh | 7.6cm x 15cm | $95.00 |
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MN182 | Ultrapro Advanced | Macroporous, Partially Absorbable Mesh | ≤200cm² | $95.00 |
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CoatedBard Australia Pty Ltd
BA186 Bard Sepramesh IP Bioresorbable Coating/Permanent Mesh 7.6cm x 15.2cm $390.00
BA187 SEPRAMesh IP Bioresorbable
Coating/Permanent Mesh
Polypropylene & polyglycolic acid polymer mesh coated with a biopolymer: a bioresorbable coating of modified sodium hyaluronate, carboxymethylcellulose & polyethylene glycol based hydrogel.
4 x 8 inch $390.00
BA226 Bard Mesh Ventralex Patch 4.3cm circle, 6.4cm circle, 8cm circle $390.00
BA227 Bard Mesh Ventrio patch 7.6cm circle, 11.4cm circle, 8x12cm oval, 11x14cm oval
BA228 Bard Mesh Composite Mesh 7.6x15.2cm, 8x12cm, 11x14cm, 11.4x11.4cm, 10x15cm, 10.8x15.9cm
$390.00
$390.00
BA234 Bard CK Parastomal Patch Bard CK Parastomal Patch 12.5 x 15.5cm $390.00 BA236 Ventralex ST Bioresorbable Barrier/Permanent Mesh 4.3cm circle, 6.4cm circle, 8.0cm circle $390.00 BA237 Ventralight ST Bioresorbable Barrier/Permanent Mesh 11.4cm circle, 10.2 x 15.2cm oval $390.00
BA246 Ventrio ST Bioresorbable Barrier/Permanent Mesh 7.6cm circle, 11.4cm circle, 8 x 12cm oval, 11
x 14cm oval
$390.00
AS143 Parietex Composite 1510FX Dual sided polyester meshes with a resorbable
adhesion -prevention hydrophilic film
15x10cm square $390.00
AS151 Parietex Composite Hiatal Hernia
Mesh
Composite Mesh 8x8cm, 9x8cm, 8.5x8cm $390.00
AS153 Parietene Composite 1510 Dual sided polypropylene mesh with resorbable
adhesion-prevention hydrophilic film
15x10cm Square $390.00
AS162 Parietene ProGrip Mesh (FLAT) Mesh with self gripping FLAT 15 x 9cm RECTANGLE $390.00
AS214 PROGRIPâ„¢ Laparoscopic Self-
Fixating Composite Mesh
Laparoscopic self-fixating composite mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side)
10x15, 16x12 rectangular $390.00
AS236 Parietex Progrip Composite Mesh Pre-cut knitted monofilament polyester
composite self gripping mesh
15x9 rectangular $390.00
Billing Code Product Name Description Size
Johnson & Johnson Medical Pty Ltd
Benefit
Benefit
Condition
JJ446 PROCEED Surgical Mesh PROCEED Surgical Mesh B1 2x4 (inches) $390.00
JJ447 PROCEED Surgical Mesh PROCEED Surgical Mesh R1 3x6 inches $390.00
JJ448 PROCEED Surgical Mesh PROCEED Surgical Mesh N1 4x6 inches oval $390.00
JJ449 PROCEED Surgical Mesh PROCEED Surgical Mesh D1 4x8 inches $390.00
JJ816 Proceedâ„¢ Ventral Patch 3D, sterile, self expanding, partially absorbable,
flexible laminate mesh for hernia or other abdominal, fascial defect repair that require addition of a reinforcing or bridging material to obtain the desired surgical result.
JJ817 Proceedâ„¢ Ventral Patch 3D, sterile, self expanding, partially absorbable,
flexible laminate mesh for hernia or other abdominal, fascial defect repair that require addition of a reinforcing or bridging material to obtain the desired surgical result.
medium (6.4cm x 6.4cm) $390.00
small (4.3cm x 4.3cm) $390.00
MN192 PHYSIOMESH Open Flexible Composite Mesh ≤200cm² $390.00
Lifehealthcare Pty LtdLH552 Dipromed ClearMesh Composite Transparent composite mesh Oval: (9 - 11) cm x (13-15)cm Circular: 4.5 -
15cm diameter
$390.00
Medical Specialties Australia Pty LtdMS030 | TiMESH light | Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating | 10 x15 cm TiMESH light | $390.00 |
MS044 | TiPLUG/TiPATCH System | Titanized polypropylene composite. Prosthetic warp-knitted fabric made of monofilament polypropylene threads with an encapsulating titanic coating. | TiPATCH | $390.00 |
Morton Surgical Pty Ltd ta Matrix Surgical Company
MG020 Surgimesh XB non-adherent Intra-abdominal implant biface Tintra R 12.5cm, 15cm $390.00
Coated, Complex delivery SystemCovidien Pty Ltd
AS203 Parietex Optimed Composite Mesh
with Accumesh Positioning System
Composite mesh with endomechanical positioning system with expandable frame and articulation control to facilitate insertion, deployment and placenment of the mesh.
15cm round with medium positioning system $600.00
Billing Code Product Name Description Size
Coated, Contoured Covidien Pty Ltd
Benefit
Benefit
Condition
AS152 Parietene Composite 12 Dual sided polypropylene mesh with resorbable
adhesion-prevention hydrophilic film
AS211 Parietex Composite Ventral Patch Parietex Composite ventral patch is used for the
reinforcement of soft tissues during surgical repair. It is indicated for the treatment of ventral defects (primary and incisional hernias).
12cm round $450.00
4.6cm, 6.6cm, 8.6cm $450.00
AS217 Symbotex Composite Mesh with pre
placed suture
AS219 PROGRIPâ„¢ Laparoscopic Self-
Fixating Composite Mesh
Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.)
Laparoscopic self-fixating composite right or left or bilateral anatomical mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side)
Rectangular 15x10 cm Round 15 cm, 12 cm Elliptical 17x10 Round 9cm
10x15 cm Rectangular Bilateral Anatomical, 10x15 cm Rectangular Right Anatomical, 10x15 cm Left Anatomical, 13x09 cm Right Anatomical,
13x09 cm Left Anatomical
$450.00
$450.00
AS220 Parietex Progrip Composite Mesh Pre-Cut, slit mesh with self gripping
overlapping flap - right or left knitted (monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides)
Elliptic slit 12x8cm left side, elliptic slit 12x8cm right side, elliptic slit 14x9 left side, elliptic slit right side 14x9cm
$450.00
AS224 PROGRIPâ„¢ Laparoscopic Self-
Fixating Composite Mesh
Laparoscopic self-fixating composite right or left anatomical mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side)
16 x 12 cm right anatomical,
16 x 12 cm left anatomical
$450.00
AS235 Symbotex Composite Mesh Non-absorbable three-dimensional polyester
composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera.
Round 15 cm, 12 cm, 9 cm Elliptical 17x10 cm Rectangular 15x10 cm
$450.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
AS241 | Symbotex Skirted Composite Mesh | Non-absorbable three-dimensional polyester | 8 cm Round, 15x10 cm Rectangle | $450.00 |
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| skirted composite mesh. On the opposite side, |
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| the absorbable hydrophilic film minimizes |
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| tissue attachment to the mesh in case of direct |
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| contact with the viscera. A flap attached to the |
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| reinforcement helps place and fix the mesh. |
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AS242 | Parietex Composite | Dual sided polyester meshes with a resorbable | 8 cm, 9 cm, 12 cm, 15 cm | $450.00 |
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| adhesion-prevention hydrophilic film |
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ContouredJohnson & Johnson Medical Pty Ltd
JJ585 Ultrapro Hernia System Ultrapro Hernia System. Mesh Made From
Composite of Monocryl & Prolene
Small to Large Oval $300.00
SH006 Swing-Contact Mesh Flat Three-Dimensional polyester prosthesis with
grips, coated with polyurethane for Open and laparoscopic surgery, 142g/m2
8cm x 13cm, 9cm x 13cm, 10cm x 15cm, 15 x 15cm, 15cm x 20cm
$300.00
SH007 Swing-Contact Mesh Pre Shaped
Anatomical Reversible
Three-Dimensional polyester prosthesis with grips, coated with polyurethane for Open and laparoscopic surgery, 142/m2
10cm x 13cm, 11cm x 14cm, 12 x 15cm, 12cm x 16cm, 10cm x 13cm, 11cm x 15cm
$300.00
SH008 Swing-Contact Mesh Pre Shaped
Anatomical with/without slit
Contoured, Coated Alliance Surgical
Three-Dimensional anatomical polyester prosthesis coated with polyurethane for pre- peritoneal placement with grips, 142g/m2
11cm x 15cm, 12cm x 16cm $300.00
AA015 CABS Air Composit Umbilical hernia, Parietal Prosthesis with
inflatable expansion Balloon
5cm, 7cm, 9cm (all sizes in diameter) $450.00
AS161 Parietene ProGrip Mesh (PRE-
SHAPED)
Pre-Cut, slit mesh with self gripping overlapping flap - right or left
12 x 8cm elliptic $450.00
Johnson & Johnson Medical Pty LtdJJ173 | VICRYL Mesh | Polyglactin 910 - synthetic absorbable mesh. | 15cm x 15cm | $152.00 |
JJ243 | VYPRO II Mesh | Composition - equal part Vicryl polyglactin yarn - non-absorbable Prolene polypropylene yarn. Partly absorbable lightweight mesh for tension free-inguinal hernia techniques | Extra large 15 x 15cm | $152.00 |
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
JJ468 | ULTRAPRO Mesh | ULTRAPRO Mesh M3 | 15 x 15cm | $152.00 |
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MN183 | Ultrapro Advanced | Macroporous, Partially Absorbable Mesh | 201-400cm² | $152.00 |
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Coated
Bard Australia Pty Ltd
BA188 Bard Sepramesh IP Bioresorbable Coating/Permanent Mesh 10.2cm x 20.3cm; 15.2cm x 20.3cm $799.00
BA207 Ventrio Hernia Patch Three layer, mesh/ePTFE with absorbable polydioxanone monofilament.
14x18cm $799.00
BA229 Bard Mesh Composite Mesh 13.8cmx17.8cm, 15x20cm, 15.9x21cm $799.00 BA235 Bard CK Parastomal Patch Bard CK Parastomal Patch 15.5 x 20.5cm $799.00 BA238 Ventralight ST Bioresorbable Barrier/Permanent Mesh 15.2 x 20.3cm oval, 15.2 x 25.4cm oval $799.00 BA247 Ventrio ST Bioresorbable Barrier/Permanent Mesh 13.8 x 17.8cm oval, 15.5 x 25.7cm oval $799.00
AS154 Parietene Composite 1515 Dual sided polypropylene mesh with resorbable
adhesion-prevention hydrophilic film
AS155 Parietene Composite 2015 Dual sided polypropylene mesh with resorbable
adhesion-prevention hydrophilic film
15x15cm $799.00
20x15cm Oval $799.00
AS218 PROGRIPâ„¢ Laparoscopic Self-
Fixating Composite Mesh
Laparoscopic self-fixating composite mesh (knitted monofilament polyester with monofilament polylactic acid resorbable grips on one side and a resorbable film made of collagen from porcine origin and glycerol, on the other side)
16 x 14 cm rectangular $799.00
AS225 Parietex Progrip Composite Mesh Pre-Cut, slit mesh with self gripping
overlapping flap - right or left knitted (monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides)
AS245 Parietex Composite Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film
Rectangular 15x15cm, 20x15cm $799.00
20 cm $799.00
JJ450 PROCEED Surgical Mesh PROCEED Surgical Mesh M1 6x6 inches $799.00
JJ451 PROCEED Surgical Mesh PROCEED Surgical Mesh G1 6x8 inches oval $799.00
MN193 PHYSIOMESH Open Flexible Composite Mesh 201-400cm² $799.00
Billing Code Product Name Description Size
Lifehealthcare Pty Ltd
LH553 Dipromed ClearMesh Composite Transparent composite mesh Oval: (14 - 18)cm x (19 - 24)cm, Circular:
20cm diameter
Benefit
$799.00
Benefit
Condition
Medical Specialties Australia Pty Ltd
MS033 | TiMESH light | Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating | 15 x 15cm TiMESH light | $799.00 |
MS035 | TiMESH light | Prosthetic warp-knitted fabric made of monofil polypropylene threads with an encapsulating titanic coating | 20 x 15cm TiMESH light | $799.00 |
Morton Surgical Pty Ltd ta Matrix Surgical Company
MG021 Surgimesh XB non-adherent Intra-abdominal implant biface Tintra M 22x15x10cm $799.00
Coated, Complex delivery System Covidien Pty LtdAS204 Parietex Optimised Composite Mesh
with Accumesh Positioning System
Coated, ContouredCovidien Pty Ltd
Composite mesh with endomechanical
positioning system with expandable frame and articulation control to facilitate insertion, deployment and placenment of the mesh.
20cm round and 20 x 15cm square with
medium positioning system
$1,009.00
AS215 | Symbotex Composite Mesh | Non-absorbable three-dimensional polyester composite mesh. (On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera) | Elliptical 25x15 cm, Elliptical 20x12 cm Rectangular 20x15cm | $799.00 |
AS238 | Symbotex Skirted Composite Mesh | Non-absorbable three-dimensional polyester | 20 x15 cm Rectangle | $799.00 |
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| skirted, coated, contoured composite mesh. On |
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| the opposite side, the absorbable hydrophilic |
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| film minimizes tissue attachment to the mesh in |
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| case of direct contact with the viscera. A flap |
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| attached to the reinforcement helps place and |
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| fix the mesh. |
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AS239 | Symbotex Composite Mesh with pre | Non-absorbable three-dimensional polyester | Rectangular 20x15 cm | $799.00 |
| placed suture | composite mesh with pre placed sutures. (Non | Elliptical 25x15 cm, |
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| absorbable pre-placed sutures are tied to the | Elliptical 20x12 cm |
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| mesh. A died marking is positioned on the |
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| center of the textile and helps center and orient |
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| the mesh.) |
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Billing Code Product Name Description Size
Coated, Integrated Delivery System Bard Australia Pty Ltd
Benefit
Benefit
Condition
BA242 Ventralight ST with ECHO PS
Positioning System
Bioresorbable Barrier/Permanent Mesh 15.2 x 20.3cm oval, 15.2 x 25.4cm oval $919.00
Johnson & Johnson Medical Pty LtdJJ469 | ULTRAPRO Mesh | ULTRAPRO Mesh T1 | 15x30cm | $220.00 |
MN184 | Ultrapro Advanced | Macroporous, Partially Absorbable Mesh | 401-600cm² | $220.00 |
Coated
Bard Australia Pty Ltd
BA206 Ventrio Hernia Patch. Three layer, mesh/ePTFE with absorbable
polydioxanone monofilament.
16x31cm, 20x25cm. $1,050.00
BA230 Bard Mesh Composite Mesh 15.9x26.1cm, 16x31.2cm, 18x23cm, 18.4x23.5cm, 19.6x24.6cm 20x25cm,
21x26.1cm, 22.1x27.1cm
$1,070.00
BA239 Ventralight ST Bioresorbable Barrier/Permanent Mesh 17.8 x 22.9cm oval, 20.3 x 25.4cm oval $1,070.00 BA248 Ventrio ST Bioresorbable Barrier/Permanent Mesh             19.6 x 24.6cm oval, 22.1 x 27.1cm oval             $1,070.00
AS156 Parietene Composite 2520 Dual sided polypropylene mesh with resorbable
adhesion-prevention hydrophilic film
AS157 Parietene Composite 3020 Dual sided polypropylene mesh with resorbable
adhesion-prevention hydrophilic film
AS222 Parietex Progrip Composite Mesh Pre-cut, slit mesh with self gripping
overlapping flap - right or left knitted (monofilament polyester with polylactic acid monofilament resorbable pins on one of the sides)
AS244 Parietex Composite Dual sided polyester meshes with a resorbable adhesion-prevention hydrophilic film
Johnson & Johnson Medical Pty Ltd
25x20cm Oval $1,050.00
30x20cm Oval $1,050.00
Rectangular 30x15cm $1,070.00
25 cm, 30 cm $1,070.00
JJ452 PROCEED Surgical Mesh PROCEED Surgical Mesh H1 8x10 inches oval $1,050.00 JJ453 PROCEED Surgical Mesh PROCEED Surgical Mesh J1             8x12 inches             $1,050.00
MN194 PHYSIOMESH Open Flexible Composite Mesh 401-600cm² $1,070.00
Billing Code Product Name Description Size
Lifehealthcare Pty Ltd
Benefit
Benefit
Condition
LH554 Dipromed ClearMesh Composite Transparent composite mesh Oval: 20x30cm $1,070.00
Coated, Contoured Covidien Pty Ltd
Coated, Integrated Delivery System Bard Australia Pty Ltd
3.8.6.4 - 601cm²-1000cm²
Johnson & Johnson Medical Pty Ltd
JJ020 | Vicryl Mesh | 1 sheet/box | Large - 30cm x 30cm | $300.00 |
JJ470 | ULTRAPRO Mesh | ULTRAPRO Mesh L1 | 30x30cm | $300.00 |
MN185 | Ultrapro Advanced | Macroporous, Partially Absorbable Mesh | 601cm-1000cm² | $300.00 |
Coated
Bard Australia Pty Ltd
BA205 | Ventrio Hernia Patch | Three layer, mesh/ePTFE with absorbable | 22x27cm, 27x35cm. | $1,122.00 |
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| polydioxanone monofilament. |
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Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
BA231 | Bard Mesh | Composite Mesh | 25x33cm, 25x36cm, 26.1x33.7cm, 26.1x36.2cm, 27.4x34.9cm | $1,122.00 |
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BA232 | Bard Sepramesh IP | Bioresorbable Coating/Permanent Mesh | 20.3cm x 30.5cm | $1,122.00 |
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BA240 | Ventralight ST | Bioresorbable Barrier/Permanent Mesh | 22.4 x 33.0cm oval | $1,122.00 |
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BA249 | Ventrio ST | Bioresorbable Barrier/Permanent Mesh | 27.4 x 34.9cm oval | $1,122.00 |
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Covidien Pty Ltd | ||||||
AS230 | Symbotex Composite Mesh | Non-absorbable three-dimensional polyester composite mesh. (On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera.) | Elliptical 40x24cm, 34x20cm | $1,122.00 |
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AS237 | Symbotex Composite Mesh with pre placed suture | Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.) | Elliptical 40x24cm, Elliptical 34x20 cm | $1,122.00 |
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Johnson & Johnson Medical Pty Ltd | ||||||
JJ454 | PROCEED Surgical Mesh | PROCEED Surgical Mesh T1 | 10x13 inches oval | $1,122.00 |
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|
JJ455 | PROCEED Surgical Mesh | PROCEED Surgical Mesh W1 | 10x14 inches | $1,122.00 |
|
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JJ456 | PROCEED Surgical Mesh | PROCEED Surgical Mesh L1 | 12x12 inches | $1,122.00 |
|
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MN195 | PHYSIOMESH Open | Flexible Composite Mesh | 601cm²-1000cm² | $1,122.00 |
|
|
Lifehealthcare Pty Ltd | ||||||
LH555 | Dipromed ClearMesh Composite | Transparent composite mesh | Oval: (26 - 30)cm x 34cm | $1,122.00 |
|
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Medical Specialties Australia Pty Ltd
MS038 TiMESH Extra Large Prosthetic warp-knitted fabric made of monofil
polypropylene threads with an encapsulating titanic coating
Extra Large TiMESH $1,122.00
MG022 Surgimesh XB non-adherent Intra-abdominal implant biface Tintra L 30x30x20cm $1,122.00
Coated, Integrated Delivery System Bard Australia Pty LtdBilling Code Product Name Description Size
3.8.6.5 - >1000cm²
Coated
Bard Australia Pty Ltd
Benefit
Benefit
Condition
BA233 Bard Sepramesh IP Bioresorbable Coating/Permanent Mesh 30.5cm x 35.6cm $3,200.00 BA241 Ventralight ST Bioresorbable Barrier/Permanent Mesh             30.5 x 35.6cm oval             $3,200.00
AS147 Parietex Composite 3728FX Dual sided polyester meshes with a resorbable
adhesion-prevention hydrophilic film
37x28cm oval $3,200.00
AS226 Symbotex Composite Mesh with pre
placed suture
Non-absorbable three-dimensional polyester composite mesh with pre placed sutures. (Non absorbable pre-placed sutures are tied to the mesh. A died marking is positioned on the center of the textile and helps center and orient the mesh.)
Rectangular 42x32 cm, Rectangular 37x28 cm $3,200.00
AS231 Symbotex Composite Mesh Non-absorbable three-dimensional polyester
composite mesh. On the opposite side, the absorbable hydrophilic film minimizes tissue attachment to the mesh in case of direct contact with the viscera.
Rectangular 42x32cm, Rectangular 37x28cm
$3,200.00
LH556 Dipromed ClearMesh Composite Transparent composite mesh 30x40cm $3,200.00
Coated, Integrated Delivery System Bard Australia Pty LtdBA245 Ventralight ST with ECHO PS
positioning System
Bioresorbable Barrier/Permanent Mesh 30.5 x 35.6cm oval $3,320.00
Baxter Healthcare Pty Ltd
BX332 Veritas Collagen Matrix - Small Bovine pericardium biologic mesh for the
repair of soft tissue for size < 200cm²
RM-0208 2cm x 8cm; RM-0304 3cm x 4cm; RM-0407 4cm x 7cm; RM-0416 4cm X 16cm;
RM-0608 6cm x 8cm; RM-0618 6cm x 18cm;
RM-0816 8cm x 16cm; RM-0818 8cm x 18cm; RM1016 10cm x 16cm; RM-1212
12cm x 12cm
$786.00
Billing Code Product Name Description Size
Covidien Pty Ltd
Benefit
Benefit
Condition
AS182 Permacolâ„¢ Biological Implant Flat sheet of acellular porcine three-
dimensional, crosslinked, dermal collagen.
KCI Medical Australia Pty Ltd
3 x 3cm, 5 x 5cm, 2 x 20cm, 5 x 10cm, 4 x
18cm, 10 x 10cm, 10 x 15cm, 6 x 3cm, 10 x 15cm
$786.00
KC001 Strattice Reconstructive Tissue matrix Strattice Reconstructive Tissue matrix is a
biologic, surgical implant made from porcine dermis. It is intended for use as a soft tissue patch to reinforce soft tissue where weakness exists and for the surgical repair of damaged ot ruptured soft tissue membranes. Indications for use include breast reconstruction and repair of hernias.
KC002 Strattice Reconstructive Tissue matrix Strattice reconstructive Tissue Matrix is a
biologic, surgical implant made from porcine dermis. It is intended for use as a soft tissue patch to reinforce soft tissue where weakness exists and for the surgical repair of of damaged or ruptured soft tissue membranes. Indications for use include breast reconstruction and repair of hernias.
0 - 50cm2 $786.00
51 - 150cm2 $786.00
WC177 Biodesign Tissue Graft Surgical Mesh composed of Sub-Intestinal
Submucosa (SIS)
Length - 10cm, Width - 7cm; Length - 7cm, Width - 4cm; Length - 3cm, Width - 2cm.
$786.00
WC242 Biodesign Surgisis Hernia Graft Biodesign Hernia Graft is 8-layer perforated
and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft
13cm x 15cm, 10cm x 10cm $786.00
WC255 Surgisis Biodesign 4-layer Tissue
Graft
Surgisis Soft Tissue Graft Length 20cm, Width 7cm $786.00
WC265 Biodesign Surgisis Inguinal Hernia
Graft
WC266 Biodesign Surgisis Inguinal Hernia
Graft
Biodesign Surgisis Inguinal Hernia Graft is a biologically derived [porcine] sis collagen, non cross-linked graft, that remodels into strong host tissue reinforcement for the inguinal floor
Biodesign Surgisis Inguinal Hernia Graft is a biologically derived [porcine] sis collagen, non cross-linked graft, that remodels into strong host tissue reinforcement for the inguinal floor
10cm x 15cm $786.00
8cm x 15cm $786.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
WC284 Surgisis Biodesign Hiatal Hernia Graft Surgisis Biodesign Hiatal Hernia Graft is an
extracellular collagen matrix, non cross-linked sterile graft material, that provides support for damaged tissues and assists in host tissue regeneration and remodelling of the diaphragmatic wall following surgical repair for paraoesophageal and hiatal hernia.
7 x 10cm rectangular and U-shaped $786.00
WC336 Biodesign ENT Surgical
Reinforcement Graft
Surgical reinforcement graft that is intended for implantation to reinforce soft tissue in the head and neck.
2 x 3cm
4 x 7cm
7 x 10cm
7 x 20cm
$786.00
| Contoured W L Gore & Associates |
| ||
GT256 | BIO-A Tissue Reinforcement | BIO-A Tissue Reinforcement | 8cm x 8cm | $800.00 |
GT257 | BIO-A Tissue Reinforcement | BIO-A Tissue Reinforcement | 9cm x 15cm | $800.00 |
GT258 | BIO-A Tissue Reinforcement | BIO-A Tissue Reinforcement - Configured for Hiatal Hernia | 7cm x 10cm | $800.00 |
3.8.7.2 - 201-400cm²
AW018 SERI Surgical Scaffold Silk-derived biological surgical scaffold 10cm x 25cm $1,325.00
CoatedBaxter Healthcare Pty Ltd
BX333 Veritas Collagen Matrix- Large Bovine pericardium biologic mesh repair of soft
tissue > 200cm²
12cm x 25cm $1,486.00
AS183 Permacolâ„¢ Biological Implant Flat sheet of acellular porcine three-
dimensional, crosslinked, dermal collagen.
15 x 20cm $1,486.00
KC003 Strattice Reconstructive Tissue Matrix Strattice reconstructive Tissue Matrix is a
biologic, surgical implant made from porcine dermis. It is intended for use as a soft tissue patch to reinforce soft tissue where weakness exists and for the surgical repair of of damaged or ruptured soft tissue membranes. Indications for use include breast reconstruction and repair of hernias.
151 - 250cm2 $1,486.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
KC004 Strattice Reconstructive Tissue matrix Strattice reconstructive Tissue Matrix is a
biologic, surgical implant made from porcine dermis. It is intended for use as a soft tissue patch to reinforce soft tissue where weakness exists and for the surgical repair of of damaged or ruptured soft tissue membranes. Indications for use include breast reconstruction and repair of hernias.
251 - 400cm2 $1,486.00
WC247 Biodesign Surgisis 8-Layer Tissue
Graft
Biodesign Surgisis 8-layer Tissue Graft is 8 layers of compressed and perforated porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft
13cm x 22cm $1,486.00
WC249 Biodesign Surgisis Hernia Graft Biodesign Hernia Graft is 8-layer perforated
and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft
WC250 Biodesign Surgisis Hernia Graft Biodesign Hernia Graft is 8-layer perforated
and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft
13cm x 22cm $1,486.00
20cm x 20cm $1,486.00
W L Gore & Associates
GT267 Bio A Tissue Reinforcement Bio A Tissue Reinforcement 10cm x 30cm $1,550.00
3.8.7.3 - 401-600cm²Covidien Pty Ltd
AS184 Permacolâ„¢ Biological Implant Flat sheet of acellular porcine three-
dimensional, crosslinked, dermal collagen.
18 x 28cm and 20 x 30cm $3,450.00
KC005 Strattice Reconstructive Tissue Matrix Strattice reconstructive Tissue Matrix is a
biologic, surgical implant made from porcine dermis. It is intended for use as a soft tissue patch to reinforce soft tissue where weakness exists and for the surgical repair of of damaged or ruptured soft tissue membranes. Indications for use include breast reconstruction and repair of hernias.
401 - 600cm2 $3,450.00
Billing Code Product Name Description Size
WILLIAM A COOK AUSTRALIA PTY LTD
Benefit
Benefit
Condition
WC251 Biodesign Surgisis Hernia Graft Biodesign Hernia Graft is 8-layer perforated
and quilted porcine sis collagen matrix, non cross-linked, remodelable and resorbable tissue graft
20cm x 30cm $3,450.00
W L Gore & Associates
GT268 Bio A Tissue Reinforcement Bio A Tissue Reinforcement 20cm x 30cm $3,550.00
3.8.7.4 - 601-800cm²Covidien Pty Ltd
AS187 Permacolâ„¢ Biological Implant Flat sheet of acellular porcine three-
dimensional, crosslinked, dermal collagen.
20 x 40cm $4,500.00
KC006 Strattice Reconstructive Tissue Matrix Strattice reconstructive Tissue Matrix is a
biologic, surgical implant made from porcine dermis. It is intended for use as a soft tissue patch to reinforce soft tissue where weakness exists and for the surgical repair of of damaged or ruptured soft tissue membranes. Indications for use include breast reconstruction and repair of hernias.
601 - 800 cm2 $4,500.00
Covidien Pty Ltd
AS188 Permacolâ„¢ Biological Implant Flat sheet of acellular porcine three-
dimensional, crosslinked, dermal collagen.
20 x 50cm $5,500.00
KC007 Strattice Reconstructive Tissue Matrix Strattice reconstructive Tissue Matrix is a
biologic, surgical implant made from porcine dermis. It is intended for use as a soft tissue patch to reinforce soft tissue where weakness exists and for the surgical repair of of damaged or ruptured soft tissue membranes. Indications for use include breast reconstruction and repair of hernias.
+ 800cm2 $5,500.00
Billing Code Product Name Description Size
3.8.8 - PTFE/ePTFE Mesh
3.8.8.1 - ≤200cm²
Bard Australia Pty Ltd
Benefit
Benefit
Condition
BA225 | Bard Mesh | Crurasoft Patch | 7x6cm, 11x8cm | $350.00 |
W L Gore & Associates | ||||
GT092 | Gore-Tex Dual Mesh | ePTFE | 1mm Thickness 7.5 x 10cm | $350.00 |
GT093 | Gore-Tex Dual Mesh | ePTFE | 1mm Thickness 8 x 12cm | $350.00 |
GT094 | Gore-Tex Dual Mesh | ePTFE | 1mm Thickness Oval 10 x 15cm | $350.00 |
GT104 | Gore-Tex DualMesh PLUS | ePTFE | 1mm Thickness 7.5 x 10cm | $350.00 |
2mm thickness
W L Gore & Associates
GT099 | Gore-Tex Dual Mesh | ePTFE | 2mm Thickness Oval 10 x 15cm | $923.00 |
Coated | ||||
GT201 | W L Gore & Associates Dualmesh Plus Biomaterial |
ePTFE |
8cm x 12cm x 1mm |
$390.00 |
GT202 | Dualmesh Plus Biomaterial | ePTFE, oval | 10cm x 15cm x 1mm | $390.00 |
Coated, 2mm thickness | ||||
GT206 | W L Gore & Associates Dualmesh Plus Biomaterial |
ePTFE, oval |
10cm x 15cm x 2mm |
$1,020.00 |
3.8.8.2 - 201-400cm²
W L Gore & Associates
GT095 | Gore-Tex Dual Mesh | ePTFE | 1mm Thickness Oval 15.0 x 19.0cm | $1,040.00 |
GT107 | Gore-Tex DualMesh PLUS | ePTFE | 15.0 x 19.0cm x 1mm Oval | $1,040.00 |
2mm thickness
W L Gore & Associates
GT100 Gore-Tex Dual Mesh ePTFE 2mm Thickness Oval 15 x 19cm $1,846.00
Coated, 2mm thicknessW L Gore & Associates
GT207 Dualmesh Plus Biomaterial ePTFE, oval 15cm x 19cm x 2mm $2,029.00
Billing Code Product Name Description Size
3.8.8.3 - 401-600cm²
W L Gore & Associates
Benefit
Benefit
Condition
GT096 | Gore-Tex Dual Mesh | ePTFE | 1mm Thickness 18 x 24cm | $1,622.00 |
GT097 | Gore-Tex Dual Mesh | ePTFE | 1mm Thickness 20 x 30cm | $1,622.00 |
2mm thickness
W L Gore & Associates
GT101 Gore-Tex Dual Mesh ePTFE 2mm Thickness 18 x 24cm $2,430.00
GT102 Gore-Tex Dual Mesh ePTFE 2mm Thickness 20 x 30cm $2,430.00
CoatedW L Gore & Associates
GT203 Dualmesh Plus Biomaterial ePTFE 18cm x 24cm x 1mm $1,823.00
GT204 Dualmesh Plus Biomaterial ePTFE 20cm x 30cm x 1mm $1,823.00
Coated, 2mm thicknessW L Gore & Associates
GT208 Dualmesh Plus Biomaterial ePTFE, 18cm x 24cm x 2mm $2,952.00
GT209 Dualmesh Plus Biomaterial ePTFE, 20cm x 30cm x 2mm $2,952.00
3.8.8.4 - >600cm²
GT098 Gore-Tex Dual Mesh ePTFE 1mm Thickness Oval 26 x 34cm $2,960.00
2mm thicknessW L Gore & Associates
GT103 Gore-Tex Dual Mesh ePTFE 2mm Thickness Oval 26 x 34cm $4,440.00
Coated
GT205 | W L Gore & Associates Dualmesh Plus Biomaterial |
ePTFE, oval |
26cm x 34cm x 1mm |
$3,373.00 |
Coated, 2mm thickness | ||||
GT210 | W L Gore & Associates Dualmesh Plus Biomaterial |
ePTFE, oval |
26cm x 34cm x 2mm |
$5,192.00 |
Billing Code Product Name Description Size
3.8.9 - Plugs
Benefit
Benefit
Condition
B Braun Australia Pty Ltd
BB104 Premilene Mesh Self Forming Plug All sizes, small, medium, large $263.00
BB192 Premilene Mesh Premilene Nonabsorbable Polypropylene Surgical Suture Material Low Profile.
BB193 Premilene Mesh Premilene Nonabsorbable Polypropylene Surgical Suture Material Low Profile.
BB194 Premilene Mesh Premilene Nonabsorbable Polypropylene Surgical Suture Material Low Profile.
Self-Forming Plug-Small, 5 pieces $263.00
Self-Forming Plug-Medium, 5 pieces $263.00
Self-Forming Plug-Large, 5 pieces $263.00
BB195 OPTILENE MESH Polypropylene Mesh Self-Forming Plug-Large, 5 pieces $263.00
Bard Australia Pty LtdBA061 Bard Mesh PerFix Plug Small, Medium, Large $263.00
Covidien Pty LtdAS068 Surgipro Non Absorbable Polypropylene Hernia Mate Plug System
Polypropylene Medium and Large $263.00
AS124 Parietene-Monofilament Polypropylene mesh
Parietene-Monofilament Polypropylene mesh Plug and Patch
06 x 12 cm $263.00
AS130 Parietex-Multifilament Polyester
Mesh
Parietex-Multifilament Polyester Mesh Plug 6 cm, 8 cm $263.00
JJ602 ULTRAPRO Plug Partially Absorbable Synthetic Surgical Mesh Device
Maquet Australia Pty Ltd
Small- Onlay patch plug: 12cm x 7.5cm, 5cm rim diameter, 3cm anchor diameter; Medium- Onlay patch plug: 12cm x 7.5cm, 5cm rim diameter, 4cm anchor diameter; Large- Onlay patch plug: 12cm x 7.5cm, 5cm rim diameter, 5cm anchor diameter
$263.00
MQ005 Atrium polypropolene mesh - surgical mesh
Polypropolene mesh plug Small, Medium, Large and Extra Large $263.00
Billing Code Product Name Description Size
Medical Specialties Australia Pty Ltd
Benefit
Benefit
Condition
MS043 TiPLUG/TiPATCH System Titanized polypropylene composite. Prosthetic
warp-knitted fabric made of monofilament polypropylene threads with an encapsulating titanic coating.
TiPLUG $263.00
Maquet Australia Pty Ltd
MQ014 C-QUR Mesh Plug Sterile, knitted polypropylene monofilament mesh material for tissue reinforcement with a coating derived from a biological oil composed of fatty acids, lipids and glycerides (BAO – Bioabsorbable Oil Coating)
Small, Med, Large, Extra Large $1,220.00
WC243 | Surgisis Biodesign Anal Fistula Plug | Surgisis Biodesign Anal Fistula Plug is a small intestine submucosal porcine derived, rolled and shaped collagen matrix, non cross-linked, that signals the body and provides support for native tissue remodeling, healing and closure of anal fistulas | 0.6cm Width Tapering to 0.2cm Width x 9.5cm Length. Conical Shape | $1,000.00 |
WC245 | Surgisis Biodesign Recto-Vaginal Fistula Plug | Small intestine submucous porcine collagen matrix, non-crosslinked, supports native tissue remodelling, healing and closure of recto- vaginal fistulas. Conical shape with attached button. | 2mm width x 5.5cm length; 4mm wide tapering to 2mm wide x 5.5cm length; 7mm wide tapering to 2mm wide x 5.5 length. | $1,000.00 |
3.8.10 - Anastomosis Clip
Emergo Asia Pacific Pty Ltd
ER197 Anastoclips Vessel Closure System (VCS) (8 and 15 cm shaft)
Small, Medium, Large, Extra Large $450.00
ER283 AnastoClip GC AnastoClip GC Medium Large Extra Large
$450.00
Billing Code Product Name Description Size
3.8.11 - Dynamic Wound Closure Devices
3.8.11.1 - Closure Set
Benefit
Benefit
Condition
Medigroup Australia
MZ010 ABRA Abdominal Wall Closure Set Abdominal Wall Closure System, for primary
closure of large full thickness retrated adbominal wounds.
For wounds up to 30cm long up 30cm across. $7,000.00
MZ011 ABRA Abdominal Wall Closure Set (Extension Kit Only)
3.9.1 - Inflatable
Extention Kit for use with ABRA Abdominal Wall Closure Set CWK08. Used when width or length of open abdomen exceeds 30cm. ABRA is for the primary closure of large full thickness retracted abdominal wounds
Extention Kit, used when wounds to be closed are larger than 30cm long and/or 30cm across.
$2,000.00
AM032 Acticon Artificial Bowel Sphincter
Pump
3.9.1.2 - Occlusive Cuff
Control Pump One Size $6,432.00
AM002 Acticon Artificial Bowel Sphincter
Cuff
Occlusive Cuff 9, 10, 11, 12, 13, 14cm (available in both 2.0cm & 2.9cm widths)
$3,574.00
AM033 Acticon Artificial Bowel Sphincter
Pressure Regulating Balloon
Pressure Regulating Balloon 81-90cm, 91-100cm, 101-110cm, 111-120cm $3,500.00
Billing Code Product Name Description Size
3.9.1.4 - Accessory Kit
American Medical Systems Pty Ltd
Benefit
Benefit
Condition
AM034 Acticon Artificial Bowel Sphincter
Accessory Kit
Accessory Kit One Size $689.00
4.1.1 - Aneurysm Clip
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
JJ134 Aneurysm Clips Stainless Steel clip, various shapes including mini
2-20mm $258.00
JJ155 Aneurysm Clips Stainless Steel, various shapes 21-25mm length $258.00
Lifehealthcare Pty Ltd
LH119 Aneurism Clip - T2 Sugita Clips, Titanium2. Slim, mini, curved and L-shape.
LH147 Aneurism Clip - T2 Sugita Clips, Titanium 2. L-shape, bayoneted, slightly curved, curved.
One Size Each $258.00
One Size Each $258.00
LH148 Aneurism Clip - T2 Sugita Clips, Titanium 2. Mini, temp, straight. One Size Each $258.00
LH170 Aneurism Clip - T1 Sugita Clips, Titanium 1. Titanium alloy (Ti- 6AI-4V)
One Size Each $258.00
LH494 Aneurism Clip - Elgiloy Sugita Clips, Elgiloy. Cobalt Chrome alloy. One size each $258.00
ComplexB Braun Australia Pty Ltd
BB290 T-Bar Yasargil Aneurysm Clip T-Bar Yarsargil Aneurysm Clip, Titanium,
Permanent Standard Fenestrated
BB291 T-Bar Yasargil Aneurysm Clip T-Bar Yarsargil Aneurysm Clip, Titanium,
Permanent Standard Fenestrated
BB292 T-Bar Yasargil Aneurysm Clip T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt
Alloy, Permanent Standard Fenestrated
BB293 T-Bar Yasargil Aneurysm Clip T-Bar Yarsargil Aneurysm Clip, Pyhnox Cobalt
Alloy, Permanent Standard Fenestrated
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
5mm-9mm, 45 Deg $378.00
5mm-13mm, 90 Deg $378.00
5mm-9mm, 45 Deg $378.00
5mm-13mm, 90 Deg $378.00
JJ131 Aneurysm Clips Stainless steel Graft Clip (with teflon graft) Blade 2-5mm diameter, 3-7mm length $378.00 JJ141 Aneurysm Clips Fenestrated Clips             Length 21-25mm             $378.00
JJ142 Aneurysm Clips Fenestrated Clips Length 6-21mm $378.00
Lifehealthcare Pty LtdLH294 Aneurism Clip - T2 Sugita Clips, Titanium 2, Fenestrated and Crankshaft.
One size each $378.00
B Braun Australia Pty LtdBB108 Aneurysm Clip Aneurysm clip All sizes $258.00
4.1.2 - AVM Clip
BB218 Kopitnik Microneurosurgical AVM
Clips
Composition: Phynox (Cobalt-base-alloy) 2mm, 3mm, 4mm, 5mm - straight. 2mm,
3mm, 4mm, 5mm - curved.
$270.00
JJ130 Aneurysm Clips Stainless steel alloy AVM Micro Clip Blade length 1-5mm $270.00
Lifehealthcare Pty LtdLH155 Sugita Microneurosurgical AVM
Clips
Composition: Cobalt-Chromium-molybdenum based alloy
One Size Each $270.00
BB118 Neuropatch Dura Substitute Polyurethane 1.5 x 3cm $72.00
BiologicalIntegra Neurosciences Pty Ltd
IG038 | DuraGen | Collagen dural graft matrix | 2.5cm x 2.5cm | $360.00 |
IG039 | DuraGen Plus | Collagen dural graft matrix | 2.5cm x 2.5cm | $360.00 |
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
JJ740 Duraform Dural Graft Implant - 1" x
1" (2.5x2.5cm)
Medtronic Australasia Pty Ltd
Collagen-based dural graft implant 1'x1' (2.5x2.5cm) $360.00
MC750 Durepair Dura Substitute, Collagen 1" x 1" $360.00
Stryker Australia Pty LtdSK492 DuraMatrix Resorbable Collagen Dura Substitute Membrane 1" x 1" (2.5cm x 2.5cm) $360.00
B Braun Australia Pty Ltd
BB356 Lyoplant Onlay Biological Onlay & Suturable Dura Substitute 2.5 x 2.5cm $360.00
4.2.2 - Repair, Graft, Medium (>10 to 50cm²)
B Braun Australia Pty LtdBB114 | Neuropatch Dura Substitute | Polyurethane | 6 x 8cm | $472.00 |
BB115 | Neuropatch Dura Substitute | Polyurethane | 4 x 10cm | $472.00 |
BB116 | Neuropatch Dura Substitute | Polyurethane | 4 x 5cm | $472.00 |
BB117 | Neuropatch Dura Substitute | Polyurethane | 2 x 10cm | $472.00 |
Biological
Integra Neurosciences Pty Ltd
IG040 | DuraGen | Collagen dural graft matrix | 2.5cm x 7.5cm | $545.00 |
IG041 | DuraGen Plus | Collagen dural graft matrix | 2.5cm x 7.5cm | $545.00 |
IG042 | DuraGen Suturable | Collagen dural graft matrix | 2.5cm x 7.5cm | $545.00 |
IG043 | DuraGen | Collagen dural graft matrix | 5cm x 5cm | $545.00 |
IG044 | DuraGen Plus | Collagen dural graft matrix | 5cm x 5cm | $545.00 |
IG045 | DuraGen Suturable | Collagen dural graft matrix | 5cm x 5cm | $545.00 |
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes | ||||
JJ860 | Duraform | Collagen-based dural graft implant | 2.5 x 7.5cm (1" x 3") to 5 x 5cm (2" x 2") | $545.00 |
Medtronic Australasia Pty Ltd | ||||
MI081 | Durepair | Dura Substitute, Collagen | 1"-2" x 2"-3" | $545.00 |
Stryker Australia Pty Ltd | ||||
SK493 | DuraMatrix | Resorbable Collagen Dura Substitute Membrane | 1" x 3" (2.5cm x 7.5cm) | $545.00 |
SK496 | DuraMatrix | Resorbable Collagen Dura Substitute Membrane | 2" x 2" (5cm x 5cm) | $545.00 |
Biological
B Braun Australia Pty Ltd
BB357 Lyoplant Onlay Biological Onlay & Suturable Dura Substitute 5 x 5cm and 2.5 x 7.5cm $545.00
4.2.3 - Repair, Graft, Large (>50 to 100cm²)
BB113 Neuropatch Dura Substitute Polyurethane 6 x 14cm $785.00
BiologicalIntegra Neurosciences Pty Ltd
IG046 | DuraGen | Collagen dural graft matrix | 7.5cm x 7.5cm | $1,120.00 |
IG047 | DuraGen Plus | Collagen dural graft matrix | 7.5cm x 7.5cm | $1,120.00 |
IG048 | DuraGen Suturable | Collagen dural graft matrix | 7.5cm x 7.5cm | $1,120.00 |
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes | ||||
JJ743 | Duraform Dural Graft Implant - 3" x 3" (7.5 x 7.5cm) | Collagen-based dural graft implant | 3" x 3" (7.5 x 7.5cm) | $1,120.00 |
| Medtronic Australasia Pty Ltd |
|
|
|
MC753 | Durepair | Dura Substitute, Collagen | 3" x 3" | $1,120.00 |
| Stryker Australia Pty Ltd |
|
|
|
SK495 | Dura Matrix | Resorbable Collagen Dura Substitute Membrane | 3" x 3" (7.5cm x 7.5cm) | $1,120.00 |
Biological
B Braun Australia Pty Ltd
BB358 Lyoplant Onlay Biological Onlay & Suturable Dura Substitute 7.5 x 7.5cm $1,120.00
4.2.4 - Repair, Graft, Extra Large (>100cm²)
BB015 Neuro-Patch Polyesterurethane 12 x 14cm $655.00
BiologicalIntegra Neurosciences Pty Ltd
IG049 | DuraGen | Collagen Dural graft matrix | 10cm x 12.5cm | $1,890.00 |
IG051 | DuraGen Suturable | Collagen dural graft matrix | 10cm x 12.5cm | $1,890.00 |
IG059 | DURAGEN PLUS | Collagen Dural Graft Matrix | 10cm x 12.5cm | $1,890.00 |
IG060 DURAGEN PLUS Collagen Dural Graft Matrix 12.5cm x 17.5cm $1,890.00
Johnson & Johnson Medical Pty Ltd t/a DePuy SynthesJJ744 Duraform Dural Graft Implant - 4" x
5" (10x12.5cm)
Medtronic Australasia Pty Ltd
Collagen-based dural graft implant 4" x 5" (10x12.5cm) $1,890.00
MC754 Durepair Dura Substitute, Collagen 4" x 5" $1,890.00
Stryker Australia Pty LtdSK494 DuraMatrix Resorbable Collagen Dura Substitute Membrane 4" x 5" (10cm x 12.5cm) $1,890.00
B Braun Australia Pty Ltd
BB359 Lyoplant Onlay Biological Onlay & Suturable Dura Substitute 10 x 12.5cm $1,890.00
4.2.5 - Repair, Liquid Sealant (0 to 3ml)
LH524 Adherus Spinal Sealant Hydrogel sealant with minimally invasive
applicator
1.5 mL $800.00
IG142 DuraSeal Xact Spinal Dural Sealant Xact Dural Sealant for spine )Packaged in
sterile single use disposable tray with MicroMyst Applicator & precurser syringes)
4.2.6 - Repair, Liquid Sealant (>3 to 6ml)
2ml vial $800.00
| Lifehealthcare Pty Ltd |
| ||
LH523 | ADHERUS Dural Sealant | Dural sealant | 6ml | $835.00 |
LH525 | Adherus AutoSpray | Hydrogel sealant with automatic applicator. | 6mL | $835.00 |
Integra Neurosciences Pty LtdIG141 Duraseal Dural Sealant DuraSeal is a Synthetic, absorbable,
Polyethylene Glycon, hydrogel sealant used as an adjunct to sutured dural repair to achieve watertight closure.
5ml of hydrogel sealant $835.00
JJ158 Hakim Programmable Valve System Valve only One size only $2,020.00
Antisyphon function, Coating, Distal catheter, Proximal catheter, ReseMedtronic Australasia Pty Ltd
MC641 Strata Valve Unitised with Bioglide
PSM range
CSF Flow Valve. Polypropylene and acetal plastic base. Silicone elastomer dome.
One size only $3,310.00
Medtronic Australasia Pty Ltd
MC642 Strata Valve Assembly with Bioglide PSM range
CSF Flow Valves. Polypropylene and acetal plastic base. Silicone elastomer dome.
One size $3,165.00
Medtronic Australasia Pty Ltd
MI019 Strata Valve with Bioglide Adjustable CSF Valve with five symmetric
performance level steps, surface of valve bonded with hydrogel
13-16mm x 35-47mm $2,980.00
BB337 Miethke proGAV Shunt System Shunt system containing an adjustable valve
with a gravitational unit, a distal catheter, a ventricular catheter and a reservoir.
Adjustable valve: diameter 18mm, opening
pressure 0-20 cmH2O, height 4.5mm. Gravitational unit: length 14.9mm, height 4.6mm, opening pressure 0-35 cmH2O. Distal catheter: length 1200mm, inside diameter 1200mm, inside diameter 1.2mm, outside diameter 2.5mm.
Reservoir: diameter 14/20mm. Ventricular catheter: 180/250mm.
$3,200.00
Johnson & Johnson Medical Pty Ltd t/a DePuy SynthesJJ219 Hakim Programmable Valve System Fixed pressure hydrocephalus shunt, packaged
sterile, stainless steel and ruby valve mechanism, silicone rubber ventricular and peritoneal catheters. In line or right angled with reservoir. Valve can be reprogrammed non-invasively 18 pressure settings a
One size only $3,200.00
Medtronic Australasia Pty LtdMC640 Strata Shunt, Unitised Adjustable CSF valve with five symmetric
performance level steps. Includes strata valve, pre-attached ventricular catheter, and a pre- attached peritoneal catheter. Right Angle Clip. Disposable Quick Release Ventricular Catheter Introducer. Disposable Sub
Antisyphon function, Distal catheter, Reservoir/Priming function B Braun Australia Pty Ltd
8-13.5cm x 9-120cm $3,200.00
Billing Code Product Name Description Size
Medtronic Australasia Pty Ltd
Benefit
Benefit
Condition
MI086 Strata Shunt Assembly Assembly: Strata Shunt, Strata Burr Hole
Shunt, Strata Snap Shunt. Adjustable CSF Valve with five symmetric performance level steps, includes integral (distal) peritoneal catheter.
Antisyphon function, Reservoir/Priming function B Braun Australia Pty Ltd
90-120cm, 35-50mm $3,055.00
BB332 Miethke proGAV Adjustable valve with intergrated gravitational
unit. Titanium, MR safe up to 3 tesla.
Adjustable valve: Diameter 18mm, Opening
pressure 0-20 cmH2O, Height 4.5mm. Gravitational unit: Length 14.9mm, Height 4.6mm.
$2,870.00
BB340 Miethke proSA with differential
pressure unit (miniNAV)
proSA is an adjustable gravitational unit for the treatment of hydrocephalus. The proSA valve can be combined with any differential pressure valve. miniNAV is a very small differential pressure unit, which is often used with proSA. The valves are made from titanium and are MR safe up to 3 tesla.
Adjustable gravitational unit: height 4.5mm, diameter 18mm, opening pressure 0-40 cmH2O.
Differential pressure unit (miniNAV): length 14.7mm, diameter 2.8mm.
$2,870.00
Johnson & Johnson Medical Pty Ltd t/a DePuy SynthesJJ437 Codman Hakim Programmable Valves with Siphonguard
MN109 Codman Certas Programmable
Valve - with Reservoir and Siphonguard
Medtronic Australasia Pty Ltd
18 different pressure settings and SIPHONGUARD technology
Programmable valve with Reservoir and Siphonguard
One Size Only $2,870.00
30-210mmH2O $2,870.00
MI087 Strata Valve Strata Valve, Strata Burr Hole Valve,.
Adjustable CSF Valve with five symmetric performance level steps.
MI190 StrataMR Valve Adjustable CSF Valve with five symmetric performance level steps
13-20mm x 35-50mm $2,870.00
Small, Regular $2,870.00
MN110 Codman Certas Programmable
Valve - with Reservoir, Siphonguard and catheter
Programmable valve with reservoir,
siphonguard and catheters
30-210mmH2O $3,055.00
Billing Code Product Name Description Size
Distal catheter, Lumboperitoneal, Proximal catheter, Reservoir/Primi Medtronic Australasia Pty Ltd
Benefit
Benefit
Condition
MI080 Strata NSC LP Shunt Kit Strata NSC LP Shunt Kit with Lumbar Catheter
and Peritoneal Catheter, Small Lumen
One size only $3,030.00
JJ159 Hakim Programmable Valve System Standard system. Silicone casing with catheter;
stainless steel ruby ball in cone mechanism with variable pressure
Peritoneal Catheter length 80 cm, Ventricular
catheter length 14 cm
$2,700.00
MC645 Strata Valve Unitised NSC (non
siphon control) PSM range
National Surgical Pty Ltd
Adjustable CSF valve with five symmetric performance level steps. Includes a strata valve, pre-attached ventricular catheter, and a pre- attached peritoneal catheter. Right Angle Clip. Disposable Quick Release Ventricular Catheter Introducer.
8-120cm $2,700.00
NK029 Sterile Hydrocephalic Shunts Plastic/magnetic. Programmable valve.
Programmer kit and shunts kit.
Distal catheter, Reservoir/Priming functionJohnson & Johnson Medical Pty Ltd t/a DePuy Synthes
3, 8 settings $2,700.00
MN108 Codman Certas Programmable
Valve - with reservoir and catheter
Medtronic Australasia Pty Ltd
Programmable valve with reservoir and catheters
30-210mmH2O $2,555.00
MC646 | Strata Valve Assembly NSC (non siphon control) PSM range | Adjustable CSF valve with five symmetrical performance level steps. Includes a strata valve, an integral distal peritoneal catheter and catheter passer, and a female leur adaptor and prefill tubing. | One size | $2,555.00 |
MC963 | Strata NSC Burr Hole Shunt Assembly | Adjustable cerebrospinal fluid (CSF) flow valve. Polypropylene and acetal plastic base. Silicone elastomer dome. With integral catheter. | One size only | $2,555.00 |
Lumboperitoneal, Reservoir/Priming function Medtronic Australasia Pty LtdMC928 Strata NSC L-P Shunt Lumboperitoneal Shunt 44mm x 23mm x 12mm $2,700.00
Billing Code Product Name Description Size
Reservoir
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
Benefit
Benefit
Condition
MN111 Codman Certas Programmable
Valve - with reservoir
Programmable valve with reservoir 30-210mmH2O $2,370.00
JJ436 Codman Hakim Programmable Valves Programmable valve with reservoir One Size Only $2,370.00
Medtronic Australasia Pty LtdMI082 Strata Valve NSC PSM Range Strata NSC, Strata NSC Burr Hole Valve.
Adjustable cerebrospinal fluid (CSF) flow valve. Polypropylene and acetal plastic base. Silicone elastomer dome.
4.3.1.2 - Valve, Non-externally adjustable
13-20mm x 23-35mm $2,370.00
BB325 Aesculap-Miethke DualSwitch shunt Non-adjustable valve with preset values for
treatment of patients susceptible to complication due to tumour cells or high protein levels. Treats patients in both supine and upright position. Titanium construction MRI compatible to 3 tesla
28mm diameter, 5.7mm profile, 510- 50cmH2O pressure setting
$1,110.00
IG019 Precision Flow-OSV II Valve System Ventricular/Peritoneal OSV11-
Ventricular/Peritoneal Hydrocephalus Shunt
Drainage Cath 110 cm, F7. Ventricular Catheters 7,9,13 & 15 cm
$1,110.00
IG026 Contour-Flex Valves Silicone encased CSF Valve Small (24mm Length) or Regular (28mm
Length), low medium or high pressure
$1,110.00
IG027 Contour Flex Valve Shunt Assemblies Shunt Assembly: silicone encased valve,
silicone ventricular and peritoneal catheters
IG032 Burr Hole Valve Shunt Assemblies Shunt Assembly: silicone encased valve,
silicone ventricular and peritoneal catheters
Small (24mm Length) or regular (28mm Length); low, low/medium and medium pressure; various catheter and valve configurations
16mm or 12mm base; low, medium or high pressure, various kit configurations
$1,110.00
$1,110.00
Billing Code Product Name Description Size
Antibiotics, Antisyphon function, Distal catheter, Proximal catheter, R Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
Benefit
Benefit
Condition
JJ861 Codman Hakim Precision Fixed
Pressure Valve
Fixed Pressure Valve with Bactiseal ventricular
and peritoneal catheters, reservoir and siphonguard: Opening pressures: 10- 130mmH2O
Standard and Micro $2,180.00
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
JJ863 Codman Hakim Precision Fixed Pressure Valve
Fixed Pressure Valve with Bactiseal ventricular and peritoneal catheters and reservoir: Opening pressures: 10-130mmH2O
Standard and Micro $1,740.00
Antibiotics, Distal catheter, Proximal catheter, Reservoir/Priming funcJohnson & Johnson Medical Pty Ltd t/a DePuy Synthes
JJ862 Codman Hakim Precision Fixed Pressure Valve
Fixed Pressure Valve with Bactiseal ventricular and peritoneal catheters and reservoir: Opening pressures: 10-130mmH2O
Standard and Micro $2,090.00
Antisyphon function, Coating, Distal catheter, Proximal catheter, Rese Medtronic Australasia Pty LtdMC648 Delta Valve Unitised with Bioglide
PSM range
CSF Flow Valves. Polypropylene and acetal
plastic base. Silicone elastomer dome. Unitised system includes the valve, integral ventricular and peritoneal catheter (all components connected). Surface of valve bonded with hydrogel (Bioglide surface modificat
8-13.5cm x 90-120cm (0.5-2.0) $1,990.00
Medtronic Australasia Pty Ltd
MC651 Delta Valve Assembly with Bioglide PSM range
CSF Flow Valves. Polypropylene and acetal plastic base. Silicone elastomer dome. Assembly system includes the valve, integral peritoneal catheter, female luer adapter and prefill tubing. Surface of the valve bonded with hydrogel (Bioglide surface modifica
90-120cm (0.5, 1.0, 1.5, 2.0) $1,845.00
Billing Code Product Name Description Size
Antisyphon function, Coating, Reservoir/Priming function Medtronic Australasia Pty Ltd
Benefit
Benefit
Condition
MC647 Delta Valve with Bioglide PSM range CSF Flow Valve. Polypropylene and acetal
plastic base. Silicone elastomer dome. Surface of valve bonded with hydrogel (Bioglide surface modification).
Antisyphon function, Distal catheter, Proximal catheter, Reservoir/Pri Johnson & Johnson Medical Pty Ltd t/a DePuy SynthesJJ220 Hakim Precision Valve System Fixed pressure valve with reservoir,
siphonguard, ventricular and peritoneal
36-40mm x 9-20mm (0.5-2.0) $1,660.00
Very low to very high including micro $1,880.00
MC649 Delta Shunt Unitised Delta valve is a fixed pressure CSF valve, available in four performance levels. Delta Unitised shunt includes a delta valve, pre- attached ventricular catheter, and a pre-attached peritoneal catheter. Right Angle Clip. Disposable Quick Release Ventricular
Medtronic Australasia Pty Ltd
Delta Unitised Shunt small (Distal 65cm- 90cm, ventricular 11cm) - 0.5, 1.0, 1.5 and
2.0. Delta Unitised Shunt regular (Distal
90cm, ventricular catheter 13cm) - 0.5, 1.0,
1.5 and 2.0
$1,880.00
MC650 Delta Shunt Assembly Delta valve is a fixed CSF pressure valve,
available in four performance levels. Includes an Integral (distal) Peritoneal Catheter, Disposable Peritoneal Catheter Passer, Female Luer Adapter and Prefill Tubing.
Antisyphon function, Lumboperitoneal Integra Neurosciences Pty Ltd
90-120cm (0.5 - 2.0) $1,735.00
IG001 Horizontal-Vertical (H-V) Lumbar
valve system
The H-V Lumbar Valve adjusts to changes in
posture to maintain pressure appropriate levels in both standing and recumbent positions. Has a unique anti-gravity mechanism automatically increasing flow resistance when the patient resumes a standing or sitting position.
903-325A 85-125 205-285 small children,
903-335A 85-125 265-365 tall children,
adults, 903-345A 85-125 325-445 tall
adults, 903-320A 50-80 170-240 small
children, 903-330A 50-80 230-320 tall
children, adults, 903-340A 50-80, 290-400 tall adults
$1,530.00
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
JJ858 Codman Hakim Precision Valves Valves with Siphonguard and Reservoir 10-130mm H2O including micro $1,550.00
Billing Code Product Name Description Size
Medtronic Australasia Pty Ltd
Benefit
Benefit
Condition
MC532 Hydrocephalus Shunt With Hydrostatic Valve, Delta Valves/Shunts/BioGlide, Vent Catheters
12mm-90cm $1,550.00
IG017 Precision Flow-OSV II Valve System Lumbar peritoneal OSV11-Lumboperitoneal
System Hydrocephalus Shunt
Lumber Catheter 80cm, F5 Peritoneal Catheter 110cm, F7
$1,625.00
IG015 Cordis Omnishunt System, Hakim
Valve Series
Hakim Valve System Drainage Cath 110 cm, F7. Vent. Cath 15cm, F8.
$1,440.00
IG018 Precision Flow-OSV II Valve System Ventricular/Atrial OSV11-Ventricular /Atrial
Hydrocephalus Shunt
Distal catheter, Proximal catheter, Reservoir/Priming functionJohnson & Johnson Medical Pty Ltd t/a DePuy Synthes
Drainage Cath 110 cm, F7. Ventricular Catheters 7,9,13 & 15 cm
$1,440.00
JJ157 | Hakim Precision Valve System | Precision valve standard with reservoir, peritoneal and ventricular catheters | Very low to very high including micro | $1,790.00 |
JJ221 | Hakim Precision Valve System | Fixed pressure hydrocephalus shunt, packaged | One size only | $1,790.00 |
|
| sterile, stainless steel and ruby valve |
|
|
|
| mechanism, silicone rubber ventricular and |
|
|
|
| peritoneal catheters. In line or right angled |
|
|
|
| with reservoir. Opening pressure H20; Very |
|
|
|
| high 130mm, high 100mm, medium 70mm |
|
|
Distal catheter, Reservoir/Priming function Medtronic Australasia Pty LtdMC531 Hydrocephalus Shunt Ventricular/Peritoneal. CSF Flow Control
Valves, BioGlide Contoured, Ventriculostomy Kit-E, Neonatal Delta Snap Shunt
12mm-90cm $1,645.00
Integra Neurosciences Pty Ltd
IG004 Spetzler Lumbar-Peritoneal Shunt
System
Reservoir/Priming function
Shunt, CSF Reservoir, In-line valve Catheter length 80 - 105cm, Reservoir small &
large, Valve pressure range low - high
$1,440.00
JJ156 Hakim Precision Valve System Precision valve standard with reservoir Very low to very high including micro $1,460.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
JJ440 | Codman Hakim Precision Valve, Right Angle Reservoir | features 5 operating pressures | 10, 40, 70, 100, and 130mmH2O | $1,460.00 |
|
|
Medtronic Australasia Pty LtdMC530 Hydrocephalus Shunt Ventricular/Atrial, CSF Flow Control Shunts,
Cont Small Valve
38cm-90cm $1,460.00
B Braun Australia Pty Ltd
BB324 Aesculap-Miethke GAV/paediGAV gravitational shunt
Single valve, anti-siphon gravitational shunt, titanium construction (MRI safe to 3 tesla)
24mm and 27mm long, 4.0mm and 4.6mm diameter, 4cmH2O and 5cmH2O-40cmH2O
$1,200.00
BB342 Miethke proSA with proGAV proSA is an adjustable gravitational unit.
proGAV is an adjustable differential pressure unit. They are combined to treat pediatric and adult hydrocephalus. The valves are made from titanium and are MR safe up to 3 tesla. They are connected by a distal catheter, which is made of silicone.
Distal CatheterB Braun Australia Pty Ltd
Adjustable gravatational unit (proSA): diameter 18mm
Adjustable differential pressure unit
(proGAV): diameter 18mm
Distal catheter: inside diameter 1.2mm, outside diameter 2.5mm
FV782T:
proSA adjustable between 0-40 cmH2O proGAV adjustable between 0-20 cmH2O
$4,040.00
BB341 Miethke proSA with proGAV and
distal catheter
proSA is an adjustable gravitational unit. proGAV is an adjustable differential pressure unit. They are combined to treat pediatric and adult hydrocephalus. The valves are made from titanium and are MR safe up to 3 tesla. The distal catheters are made of silicone.
Adjustable gravitational unit (proSA): diameter 18mm
Adjustable differential pressure unit
(proGAV): diameter 18mm
Distal catheter: length 1200mm, inside diameter 1.2mm, outside diameter 2.5mm Distal catheter (connection between both valves): inside diameter 1.2mm, outside diameter 2.5mm
FV783T:
proSA adjustable between 0-40 cmH2O, proGAV adjustablebetween 0-20 cmH2O
$4,225.00
Billing Code Product Name Description Size
Distal Catheter, Reservoir/Priming Function B Braun Australia Pty Ltd
Benefit
Benefit
Condition
BB343 Miethke proSA with proGAV with
reservoir and distal catheter
Shunt system containing an adjustable
gravitational unit and an adjustable differential pressure unit (proGAV) with distal catheters and a ventircular catheter, combined with a deflector, a pediatric prechamber or a reservoir. There are two types of reservoirs: Control reservoir and pediatric Burrhole reservoir. The shunt system is used for the treatment of pediatric and adult hydrocephalus. The valves, the prechamber, the deflector and the reservoirs are made from titanium. The catheters are made from silicone. The shunt system is MR safe up to 3 tesla.
Adjustable gravitational unit (proSA): height
4.5mm, diameter 18mm
Adjustable differential pressure unit (proGAV): diameter 18mm
Distal catherter: length 1200mm, inside diameter 1.2mm, outside diameter 2.5mm Distal catheter for connections: inside diameter 1.2mm, outside diameter 2.5mm
1) FV784T proSA with proGAV and pediatric burrhole reservoir and distal catheter:
proSA adjustable between 0-40 cmH2O, proGAV adjustable between 0-20 cmH2O, Pediatric burrhole reservoir: Diameter 14mm
2) FV785T proSA with proGAV and pediatric prechamber and distal catheter:
proSA adjustable between 0-40 cmH2O, proGAV adjustable between 0-20 cmH2O, Pediatric prechamber: diameter 14mm
$4,575.00
IG023 Cordis Omnishunt System Silicone and Synthetic ruby Very low to very high pressures $450.00
Johnson & Johnson Medical Pty Ltd t/a DePuy SynthesJJ855 Codman-Medos Non-programmable
Valve System
Medtronic Australasia Pty Ltd
Lumbar/peritoneal catheter, James and Holter designs
25-80cm $450.00
MC529 Hydrocephalus Shunt Lumbar peritoneal 84cm $450.00
Antisyphon functionB Braun Australia Pty Ltd
BB322 Aesculap-Miethke PaediGAV/GAV
gravitational shunt (with catheter)
Single valve, (anti-siphon) gravitational shunt, titanium construction (MRI safe to 3 tesla),
with incorporated distal catheter, supplied sterile
23mm long , 4.6mm diameter, 5cmH2O - 40cmH2O, Catheter - di=1.2mm, do=2.5cm, 1200mm long
$1,650.00
Billing Code Product Name Description Size
4.3.3 - Catheter
Antibiotics
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
Benefit
Benefit
Condition
JJ883 Hakim Ventricular Catheter Set with Bactiseal
JJ884 Hakim Peritoneal Catheter Set with
Bactiseal
DistalB Braun Australia Pty Ltd
Silicone ventricular catheter, antibiotic impregnated
Silicone peritoneal catheter, antibiotic impregnated
15cm $469.00
80cm $469.00
BB329 Miethke Peritoneal Catheter Peritoneal catheter, barium impregnated, radio-
opaque silicon
2) Peritoneal catheter with integrated barium strip
d 1.2mm od =2.5mm; 600,900 1200mm long $185.00
IG010 Shunt Components - catheter: Atrial 55cm - 60cm, Low - High pressure range $185.00
IG011 Shunt Peritoneal 90 - 120cm $185.00
IG020 Atrial Catheter Components - catheter: Atrial Atrial Catheters Hydrocephalux Valve Accessories
Length: 46cm, F7. OD: 2.1mm; ID:1.1mm $185.00
IG021 Peritoneal Catheter Peritoneal Catheters Length: 91cm, F7. OD: 2.1mm; ID:1.1mm $185.00
IG030 Cardiac/Peritoneal Catheters SiliconDistal Catheter, ID 1.3mm, OD 2.5mm 90cm, barium impregnated silicone catheter,
closed or open ended, with or without slits
$185.00
JJ229 Codman Medos Peritoneal Catheter 85cm, packaged sterile, silicone rubber 85cm $185.00
JJ261 ACCU-FLO Intracranial Pressure shunt
ACCU-FLO catheter, packaged sterile, silicone rubber
91cm in length $185.00
JJ857 HOLTER Intracranial Pressure Shunt HOLTER distal peritoneal catheter/Salmon,
packaged sterile, silicone
90cm $185.00
MC584 CSF - Distal Catheters Non metallic and latex free, Models 43418,43103,43111,43209,43522,43551,27211
Distal cardiac/peritoneal catheters ID 1.3mm OD 2.5mm Length 90cm, 96cm, 110cm, 120cm, ID 1.2mm, OD 2.1mm, Length 90cm, 75cm, 58cm
$185.00
MC857 Small Lumen Peritoneal Catheter CSF Distal Catheter ID - 0.7mm OD - 2.5mm Length - 120cm $185.00
Billing Code Product Name Description Size
Distal, Coating
Medtronic Australasia Pty Ltd
Benefit
Benefit
Condition
MC638 Peritoneal Catheter PSM range with
Bioglide
Distal, Proximal, Antibiotics
Translucent silicone elastomer with Barium impregnated stripe. Catheter surface bonded with Hydrogel.
60-90cm $255.00
JJ160 Hakim Catheter Kit with Bactiseal
Silicone
ProximalB Braun Australia Pty Ltd
Silicone antibiotic impregnated catheter kit Kit $675.00
BB331 Miethke Ventricular catheter with
deflector
BB336 Miethke Ventricular Catheter with
stylet
Integra Neurosciences Pty Ltd
Ventricular catheters (with deflector) are used to drain CSF out of the ventricle. All catheters are made of radiopaque silicone. The deflectors allow 90 degree deflection of the ventricular catheter in the burrhole without kinking the catheter. All deflectors are made of titanium. The deflectors are adjustable on the catheter, have suture fixation holes and are radiopaque.
Ventricluar catheters (with stylet) are used to drain CSF out of the ventricle. All catheters are made of radiopaque silicone.
Ventricular catheter with deflector: Inside diameter 1.2mm, Outside diameter 2.5mm.
FV075P: Ventricular catheter 180mm, graduated.
Deflector: Large.
FV078P: Ventricular catheter 250mm, graduated.
Deflector: Large.
Ventricular catheter with deflector (for pediatric application):
Inside diameter 1.2mm, Outside diameter 2.5mm.
FV076P: Ventricular catheter 180mm, graduated.
Deflector: Small.
Inside diameter 1.2mm, Outside diameter 2.5mm.
FV074P: 180mm, graduated.
FV077P: 250mm, graduated.
$185.00
$185.00
IG009 Heyer-Schulte Pudenz Ventricular
Catheter
- small, standard, right-angled $185.00
IG012 Shunt Ventricular 14.5cm - 23cm $185.00
IG014 Heyer Schulte Portnoy Flanged
Ventricular Catheter
Composition - silicone with tantalum markings Length 18cm, outer diameter 8mm $185.00
IG025 Right Angle Ventricular Catheter Silicone, integral right angle 3-11cm $185.00
Billing Code Product Name Description Size
IG031 Ventricular Catheters Silicon Ventricular Catheter 15cm - 25cm, optional flanges or right angle
or endoscopic tip. ID 1.3mm, OD 2.5mm
Benefit
$185.00
Benefit
Condition
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
JJ218 HOLTER Intracranial Pressure Shunt HOLTER Ventricular Catheter, packaged
sterile, silicone rubber
3 - 7cm and 15cm $185.00
JJ227 Codman Medos Straight Ventricular
Catheter
14cm, packaged sterile, silicone rubber 14cm $185.00
JJ263 ACCU-FLO Intracranial Pressure shunt
ACCU-FLO barium ventricular catheter, packaged sterile, silicone rubber
One size only $185.00
MC735 Rivulet Ventricular Catheter 4cm - 23cm $185.00
MI122 CSF Ventricular Catheter PSM range Ventricular catheter, non metallic latex free.
Barium impregnated, include stainless steel stylet.
1.3 - 35cm $185.00
Medtronic Australasia Pty Ltd
MC639 Ventricular Catheter PSM range with Bioglide
Translucent silicone elastomer with Barium impregnated stripe. Catheter surface bonded with Hydrogel.
15-23cm $249.00
Medtronic Australasia Pty Ltd
MI165 ARES Antibiotic-Impregnated
Catheter
MI166 ARES antibiotic -impregnated
catheter
AntibioticsDistalProximal Medtronic Australasia Pty LtdMI167 ARES antibiotic-impregnated
catheter kit
ARES antibiotic-impregnated ventricular catheter
ARES antibiotic-impregnated peritoneal catheter
ARES antibiotic catheter kit includes ventricular and peritoneal catheter
23cm $469.00
120cm $469.00
23 - 120cm $675.00
Billing Code Product Name Description Size
4.3.4 - Antisyphon Device
Benefit
Benefit
Condition
B Braun Australia Pty Ltd
BB323 Aesculap-Miethke SHUNTASSISTANT/PAEDI -
SHUNTASSISTANTgravitational unit
Integra Neurosciences Pty Ltd
Single valve, anti-siphon gravitational unit to treat standing pressure over drainage in conjunction with existing shunts in children and adults, titanium construction (MRI safe to 3 tesla).
19.5mm long and 23.7mm long , 4.0mm diameter and 4.6mm diameter , 10cmH2O and 15-35cmH2O
$880.00
IG024 Gravity Compensating Accessory Silicone/Stainless steel low, medium & high pressures $880.00
Johnson & Johnson Medical Pty Ltd t/a DePuy SynthesJJ164 Siphonguard CSF Control Device PET shell anti-siphon device for shunt One size only $880.00
4.3.5 - Reservoir/Priming Device
BB326 Aesculap-Miethke Shunt inline Flushing reservoir
BB327 Aesculap-Miethke Shunt Burr hole
port
Titanium, (MRI safe 3 tesla), radio- opaque with low overall height for easy and safe positioning of ventricular catheter. Allows CSF extraction and drug injection by syringe through silicone dome. Solid Titanium base ensures syringes will not penetrate.
Titanium, (MRI safe 3 tesla), radio-opaque with low overall height for easy and safe positioning of ventricular catheter. Allows CSF extraction and drug injection by syringe through silicone dome. Solid Titanium base ensures syringes will not penetrate, supplied sterile.
Radio-opaque titanium. 14mm diameter,4.8mmheight; 20mm diameter, 5.65mm height. For catheters - id = 1.2mm,od
= 2.5mm
Radio- opaque titanium. 14mm diameter, 4.8mm height; 20/9.5mm diameter, 5.65mm height. For catheters - id =1.2mm, od =2.5mm
$375.00
$375.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
BB333 Miethke Port / Reservoir The ports / reservoirs are all made of titanium
and are radiopaque. They have a low overall height for easy and safe positioning and fixation of the ventricular catheter. They allow CSF extraction and drug injection by inserting a syringe through the silicone dome. The solid titanium base prevents penetration with a syringe needle. There are 6 different types: Burrhole port, CSF port, Burrhole reservoir, Sprung reservoir, Flushing reservoir, Control reservoir.
Integra Neurosciences Pty Ltd
Burrhole port:
FV030T: Diameter 20mm, Height 5.65mm. FV040T: Diameter 14mm, Height 4.8mm (for pediatric application).
CSF port:
FV060T: Diameter 20mm, Height 5.65mm. Burrhole reservoir:
FV028T: Diameter 20mm, Height 5.65mm.
FV029T: Diameter 20mm, Height 5.65mm with adjustable connector.
FV039T: Diameter 14mm, Height 4.8mm (for pediatric application).
Sprung reservoir:
FV043T: Diameter 20mm, Height 5.65mm. Flushing reservoir:
FV033T: Diameter 20mm, Height 5.65mm. FV035T: Diameter 14mm, Height 4.8mm (for pediatric application).
Control reservoir:
FV047T: Diameter 20mm, Height 5.65mm.
$375.00
IG006 Heyer-Schulte Spetzler Lumbar-
Peritoneal Low Pressure Flushing Reservoir
IG008 Heyer-Schulte Ommaya CSF Reservoir
- Small, large $375.00
Standard, side-inlet, convertible, mini 1.5 - 2.5cm and mini $375.00
IG013 Shunt Reservoir Standard, Large $375.00
IG033 Reservoirs Shunt component 9mm to 25mm, with or without convertible outlet port, burr hole or flat bottom style
$375.00
JJ856 Burr Hole Button Reservoirs Various ventriculostomy reservoirs Standard, dome, flat profile and large $375.00
Medtronic Australasia Pty LtdMC534 Pressure valve (anti-siphon device or flushing valve or flush pump)
Neonatal Reservior, CSF Lumbo Peritoneal 2 - 90cm $375.00
MI018 Reservoir CSF Reservoir, Port, Neonatal, Snap assembly Various $375.00
Billing Code Product Name Description Size
Integrated catheter
B Braun Australia Pty Ltd
Benefit
Benefit
Condition
BB330 Miethke Reservoir with integrated
catheter
4.3.6 - Shunt Attachment
BB328 Miethke Titanium connectors &
deflectors
Integra Neurosciences Pty Ltd
The reservoirs are all made of titanium and are radiopaque. They have a low overall height for easy and safe positioning and fixation of the ventricular catheter. They allow CSF extraction and drug injection by inserting a syringe through the silicone dome. The solid titanium base prevents penetration with a syringe needle. The reservoirs come with integrated catheters. There are 4 different types of reservoirs with integrated catheters: Burrhole reservoir, sprung reservoir, flushing reservoir and control reservoir.
Titanium, (MRI safe 3 tesla), deflector allows 90 degree deflection of the ventricular catheter in the burr hole without kinking, adjustable on length of catheter, suture fixture hole
Burrhole reservoir:
FV027T - Diameter 20mm, Height 5.65mm, with integrated catheter 600mm.
FV054T - Diameter 14mm, Height 4.8mm,
with integrated catheter 200mm (pediatric). Sprung reservoir:
FV044T - Diameter 20mm, Height 5.65mm, with integrated catheter 600mm.
Flushing reservoir:
FV034T - Diameter 20mm, Height 5.65mm, with integrated 600mm.
FV081T - Diameter 14mm, Height 4.8mm, with integrated catheter 600mm (pediatric). Control reservoir:
FV048T - Diameter 20mm, Height 5.65mm, with integrated catheter 600mm.
Radio-opaque titanium, connector diameter: 1,9mm for use with catheters of id = 1.2mm; of id 1.2mm; od = 2.5mm
$500.00
$200.00
IG007 Heyer-Schulte Connectors for Neurosurgical Use
Pudenz straight, Pudenz right angled, Pudenz three-way (Y) Threaded straight, Threaded right angled, Double threaded straight
Each in one size $38.00
IG022 Connectors Silicone and Stainless Steel Straight, right angle, Y, T $38.00
Johnson & Johnson Medical Pty Ltd t/a DePuy SynthesJJ934 Codman Hydrocephalus Connectors Metal and plastic connectors 8mm to 20mm length $38.00
Medtronic Australasia Pty LtdMI022 Shunt Component Connector Connectors, fixation tabs Various $38.00
Billing Code Product Name Description Size
4.3.6.2 - Right Angled Guide
Benefit
Benefit
Condition
B Braun Australia Pty Ltd
BB334 Miethke Titanium connectors - right
angled / shaped
Integra Neurosciences Pty Ltd
In general, titanium connectors are preferably used with catheters of internal diameter 1.2m and external diameter 2.5mm.
Step-down connectors are designed for connecting standard catheters to lumbar catheters.
L-P connectors are designed for connecting two lumbar catheters to each other.
Titanium connector: Connector diameter, 1.9mm.
L-shape:
FV051T: 1pc
Y-shape:
FV015T: 1 pc, FV016T: 5 pcs, FV017T: 10
pcs.
T-shape:
FV018T: 1 pc, FV019T: 5 pcs, FV020T: 10
pcs.
X-shape:
FV021T: 1 pc, FV022T: 5 pcs, FV023T: 10
pcs.
Y-shape: FV056T: 1 pc.
U-shape: FV057T: 1 pc.
F-shape: FV058T: 1 pc.
L-shape: FV059T: 1 pc.
Titanium connector, step-down: Connector diameters: 1.9mm to 1.4mm:
L-shape: FV052T: 1 pc.
Titanium connector, L-P drainage: Connector diameters 1.4mm to 1.4mm:
L-shape:
FV053T: 1 pc.
$200.00
IG052 Electa right angle guide Silicone One Size Only $200.00
Billing Code Product Name Description Size
4.4.1 - Implantable Pulse Generator
4.4.1.1 - Primary Cell Pulse Generator (non-rechargeable)
Benefit
Benefit
Condition
Medtronic Australasia Pty Ltd
MI031 Medtronic Activa SC Neurostimulator for Deep Brain Stimulation
Single channel neurostimulator for Deep Brain stimulation
New or Old Header choice $9,050.00
SJ197 Libra Deep Brain Stimulation System - Libra IPG - 6608
Medtronic Australasia Pty Ltd
MC838 Medtronic ACTIVA PC Neurostimulator for Deep Brain Stimulation
Implantable pulse generator for deep brain stimulation - 8 channel
ACTIVA PC Dual channel primary cell neuro stimulator for Deep Brain Stimulation (37601)
50mm x 54mm x 14mm $9,050.00
One size only $15,060.00
SJ171 ANS Spinal Cord Stimulation System (SCS) GENESIS
Implantable Pulse Generator - Genesis Model 3608
One size only $15,060.00
SJ206 Libra XP DBS IPG 6644 Implantable pulse generation for deep brain
stimulation - Dual 4 Channel
76mm x 58mm x 14mm $15,060.00
SJ376 Infinity IPG Implantable Pulse Generator 55mm, 68mm $15,060.00
4.4.1.2 - Rechargeable Pulse GeneratorMedtronic Australasia Pty Ltd
MC946 Medtronic ACTIVA RC Neurostimulator for Deep Brain Stimulation
ACTIVA RC Dual channel rechargeable neurostimulator for Deep Brain Stimulation (37612)
One size only $19,150.00
SJ202 Brio DBS Implantable Pulse Generator 6788
Dual Channel 16 Contact rechargeable IPG 29g, 17cc $19,150.00
BS237 Vercise IPG Kit Dual Channel, 16 Contact, Zero Volt Rechargeable Deep Brain Stimulation IPG
One size only $22,000.00
Billing Code Product Name Description Size
4.4.2 - External Components
4.4.2.1 - Patient Programmer
Benefit
Benefit
Condition
Boston Scientific Australia Pty Ltd
BS243 Vercise Remote Control Remote patient control for DBS One size only $1,400.00
Medtronic Australasia Pty LtdMC837 Medtronic Activa Patient Programmer Medtronic Activa Patient Programmer (Model
37642)
St Jude Medical Australia Pty Ltd
One size only $1,400.00
SJ204 Brio DBS Patient Controller 6856 Patient Controller for DBS One size only $1,400.00
4.4.2.2 - Recharger
BS245 Vercise Charging System Recharging system for DBS N/A $1,975.00
Medtronic Australasia Pty LtdMC945 Medtronic ACTIVA Recharging
System for Deep Brain Stimulation
Recharging System for Deep Brain Stimulation One size only $1,975.00
SJ351 Brio LE Charging System 6722 Charging system for Brio Deep Brain
Stimualtion Device
One size only $1,975.00
BS238 Boston Scientific DBS Lead Kit Deep brain stimulation lead with 8 in-line
contact electrodes. Independent 19-filar platinum-core.
30cm - 45cm $4,150.00
MC244 Medtronic Australasia DBS Lead
Model 3389, Medtronic quadripolar Itrel II- 7424DBS, Active Implantable Stimulator & Ancillary Equipment
Deep brain stimulation lead with four platinum iridium electrodes Models 3387 and 3389. Electrode spacing is 1.5mm apart for Model 3387 and 0.5mm apart for Model 3389. PTFE, polyurethane, platinum/iridium, nickel alloy, tungsten
28 - 40cm $4,150.00
Billing Code Product Name Description Size
St Jude Medical Australia Pty Ltd
Benefit
Benefit
Condition
SJ148 Libra Deep Brain Stimulation System - Leads 6142 - 6149
DBS Leads 6142-6145 1.5mm electrode and space 1.5mm; 6146-6149 1.5mm electrode and 0.5mm space
25-40cm $4,150.00
SJ377 Infinity Lead Lead with 4 electrodes 30-90cm $4,150.00
SJ378 Infinity directional lead Lead with 8 electrode segmented contacts.
Steerable and directional current.
30-90cm $4,150.00
BS239 Boston Scientific DBS Extension Kit Deep brain stimulation extension kit 55cm $2,100.00
BS293 B26 Pocket Adaptor Pocket Adaptor for Deep Brain Stimulation IPG 15cm $2,100.00
Medtronic Australasia Pty LtdMC305 Low Profile Impedance Extension Kit for DBS Model 7482
Silicone Rubber 25, 40, 51, 66, 95cm $2,100.00
MC852 Medtronic Extension for Deep Brain
Stimulation
MC940 Pocket Adaptors for Deep Brain
Stimulation
Medtronic ACTIVA Stretch Coil Extension for use with ACTIVA RC and PC
Pocket Adaptors for Deep Brain Stimulation (Single and Dual Channel)
40cm, 60cm, 95cm $2,100.00
25.5cm and 27.4cm $2,100.00
MI032 Medtronic Extension for Deep Brain
Stimulation
Extension for Deep Brain Stimulation 40cm, 60cm, 95cm $2,100.00
SJ234 Pocket Adaptor IS-1 Pocket Adaptor 25cm and 50cm $2,100.00
SJ350 8-Channel Adapter 8-Channel Adapter 10cm and 60cm $2,100.00
SJ373 St Jude Deep Brain Stimulation System
Extension Lead for DBS 50-90cm $2,100.00
MI073 Medtronic MicroTargeting Electrodes Microelectrodes used for intra-operative
recording of neuronal activity for DBS
St Jude Medical Australia Pty Ltd
Various $1,500.00
SJ198 MicroTargeting Electrodes Microtargeting mono- and bipolar- electrodes 100-300mm $1,500.00
Billing Code Product Name Description Size
4.4.5 - Accessories
4.4.5.1 - Burr Hole Cover
Benefit
Benefit
Condition
Boston Scientific Australia Pty Ltd
BS244 SureTek Burr Hole Cover Burr hole cover 14mm compatability $550.00
Medtronic Australasia Pty LtdMC767 Stimloc Burr Hole Cover 14mm $550.00
St Jude Medical Australia Pty LtdSJ199 Guardian Burr Hole Cover System Cranial Burr Hole Cover 14 - 17mm outer diameter $550.00
4.4.5.2 - Connectors and cables
BS242 Boston Scientific DBS OR Cable &
Extension
Medtronic Australasia Pty Ltd
OR cable and extension for DBS One size only $200.00
MC764 Microelectrode Cable Cable used for intracranial recording of neural
activity prior to DBS
MC770 Snap Lid Connector Connector for implanted lead to external Implantable Pulse Generator
One size $200.00
2.5" x 5.0" $200.00
MC842 Medtronic Screening Cable (Twist
Lock)
MC843 Medtronic Screening Cable (Alligator Clip)
Screening Cable with Twist Lock for Intraoperative testing
Screening Cable with Alligator Clip for Intraoperative testing
One size only $200.00
One size only $200.00
BS240 Vercise Physician's Spare Kit Boots accessory kit for DBS N/A $175.00
BS241 Boston Scientific DBS Tunneling
Tool
MC826 Medtronic Accessory Kit for Deep Brain Stimulation
MI003 Medtronic DBS Tunneling Tool Accessory Kit
Tunneling tool for DBS - straw, long N/A $175.00
Boots accessory kit for DBS (3550-25) N/A $175.00
DBS Tunneling Tool Accessory Kit One size only $175.00
Billing Code Product Name | Description | Size | Benefit | Benefit | Condition |
MI119 Electrode Insertion Tube set | Electrode Insertion Tube Set for DBS | One size only | $175.00 |
|
|
4.5.1 - Pulse Generators
MC137 Medtronic A/Asia, Synergy Dual
Channel Implantable Pulse Generator Model 7427, Active Implantable Stimulators.
DCI - Pulse Generator: Synergy Dual Channel Implantable Pulse Generator Model 7427. Materials - Titanium
One size only $19,150.00
MC742 Prime Advanced Implantable Neurostimulator Dimensions: 65 x 49 x 15mm $19,150.00
MI135 PrimeAdvanced Surescan MRI Neurostimulator
16 electrode non-rechargeable implantable neurostimulator for pain management with Surescan MRI technology Model 97702
One size only $19,150.00
St Jude Medical Australia Pty LtdSJ362 Axium Neurostimulator System -
Implantable Neurostimulator
Multi waveforms
Spinal modulation implantable neurostimulator. 1 size; 31cc (1 presentation) $19,150.00
SJ379 Proclaim IPG Implantable pulse generator 55mm, 68mm $24,000.00
4.5.1.2 - Rechargeable Pulse Generator
MC746 Restore Advanced INS Implantable Neurostimulator Dimensions: 65 x 49 x 15mm $19,150.00
MC929 Medtronic RestoreULTRA
Neurostimulator
MI133 RestoreUltra Surescan MRI Neurostimulator
MI134 RestoreAdvanced Surescan MRI Neurostimulator
16 Electrode Rechargeable implantable Neurostimulator for pain management (37712)
16 Electrode rechargeable implantable neurostimulator for pain management with Surescan MRI technology Model 97712
16 electrode rechargeable implantable neurostimulator for pain management with Surescan MRI technology Model 97713
22cc $19,150.00
One size only $19,150.00
One size only $19,150.00
SJ210 Eon C IPG 3688 16 channel non-rechargeable multi-program implantable pulse generator
49cc $19,150.00
Billing Code Product Name Description Size
Adaptive Stimulation
Medtronic Australasia Pty Ltd
Benefit
Benefit
Condition
MI004 | Medtronic RestoreSensor Implantable Neurostimulator | 16 Electrode Rechargeable implantable neurostimulator for pain management with AdaptiveStim | 22cm3 | $24,000.00 |
MI132 | RestoreSensor Surescan MRI Neurostimulator | 16 electrode rechargeable implantable neurostimulator for pain management with AdaptiveStim and Surescan MRI technology | One size only | $24,000.00 |
Adaptive Stimulation, Unlimited Deep Discharge Battery, 32 Electrode Boston Scientific Australia Pty Ltd
BS254 Precision Spectra IPG 32-output, multi-channel, zero-volt
rechargeable neurostimulation system IPG with 3D alogrythmic programming
Multi waveform, Recharge protectionSt Jude Medical Australia Pty Ltd
One Size Only $26,000.00
SJ374 Prodigy IPG Implantable Pulse Generator 26g $26,000.00
Unlimited Deep Discharge BatteryBoston Scientific Australia Pty Ltd
BS104 Precision Plus IPG; Precision Plus
IPG with Multiwave Technology
Rechargeable Neurostimulation System Implantable Pulse Generator.
One Size Only $22,000.00
ER005 Nevro Spinal Cord Stimulation
System (SCSS) - IPG Kit
The Implantable Pulse Generator (IPG) is a
rechargeable implantable device. It is capable of stimulating the spinal cord nerves through the electrodes of the leads connected to any combination of the output terminals, using one programmable current source.
N/A $26,000.00
Billing Code Product Name Description Size
4.5.2 - External Components
4.5.2.1 - Patient Programmer
Boston Scientific Australia Pty Ltd
Benefit
Benefit
Condition
BS106 Precision Plus Remote Patient
Programmer; Precision Plus with Multiwave
Technology Remote Patient Programmer
BS253 Precision Spectra Patient Remote
Programmer
Hand held remote control External Patient Programmer
Hand held remote control External Patient Programmer
One Size Only $1,500.00
One size only $1,500.00
MC247 Patient Activators Hand held device Models 7434 & 7435 to be used with Itrel III and Synergy Implantable Pulse Generators
One size only $1,500.00
MC943 Medtronic myStim Patient Programmer
MI005 Medtronic myStim Patient Programmer (Model 37744)
Patient programmer for Restore and Prime Neurostimulation systems (Model 37743)
Patient programmer for implantable neurostimulator
One size only $1,500.00
One size only $1,500.00
MI138 Surescan MRI Patient programmer Patient controller for Surescan MRI
Neurostimulators
One size only $1,500.00
SJ172 ANS Spinal Cord Stimulation System (SCS) GENESIS
SJ177 ANS Spinal Cord Stimulation System (SCS) GENESIS
Patient Programmer Model 3850 One size only $1,500.00
QuikLink Patient Programmer Model 3860 One Size Only $1,500.00
SJ183 Eon Neurostimulation System Eon Programmer #3851 . $1,500.00
SJ348 Prodigy Patient Programmer Prodigy Patient Programmer for use with
Prodigy Neurostimulator.
One size. $1,500.00
SJ355 Axium Neurostimulator System -
Programmer - Patient
Programmer - patient 1 size (1 presentation) $1,500.00
MC694 Restore Rechargeable Neurostimulation System
External Patient Programmer Antenna Model 37092
One size only $178.00
Billing Code Product Name Description Size
4.5.2.3 - On/Off switching device
Benefit
Benefit
Condition
Emergo Asia Pacific Pty Ltd
ER009 Nevro Spinal Cord Stimulation
System (SCSS) - Patient Remote Kit
The patient remote control is a handheld, battery operated unit able to communicate via radiofrequency (RF) with the Implantable Pulse Generator and trial stimulator
N/A $1,400.00
SJ173 ANS Spinal Cord Stimulation System (SCS) GENESIS
4.5.2.4 - Recharger
Communication Magnet Model 1210 One type only $1,400.00
BS105 Precision SCS External Patient
Recharger
BS143 Precision SCS External Patient Recharger System
Emergo Asia Pacific Pty LtdER008 Nevro Spinal Cord Stimulation
System (SCSS) - Charger Kit
Medtronic Australasia Pty LtdMC692 Restore Rechargeable Neurostimulation System
MI006 Medtronic External Patient Recharger System Model 37754
External Patient Recharging System: Base Station, charger, Cradle power supply, charger base station
External Patient Recharging System: Base Station, Charger, Cradle power supply, charger base station.
The Charger is a battery powered rechargeable device intended to recharge the Implantable Pulse Generator (IPG) battery transcutaneously
External Patient Recharger System Model 37752
Patient recharger system for implantable neurostimulator
One Size Only $1,346.00
One size only $1,346.00
N/A $1,346.00
one size only $1,346.00
One size only $1,346.00
MI139 Medtronic Patient Recharger System Recharging system for Surescan MRI
Neurostimulators Model 97754
St Jude Medical Australia Pty LtdSJ342 Eon Mini Charger Charger to recharge Implantable Pulse Generator
SJ349 Prodigy Charging System Prodigy Charging System for use with Prodigy
Neurostimulator.
One size only $1,346.00
One size $1,346.00
One size $1,346.00
SJ352 Eon Charging System 3726 Eon Charging System One size $1,346.00
Billing Code Product Name Description Size
4.5.3 - Leads
4.5.3.1 - Permanent Lead
≥32 electrodes
Boston Scientific Australia Pty Ltd
Benefit
Benefit
Condition
BS255 CoverEdge 32 Contact Surgical Leads CoverEdge 32 has 4x8 tightly-spaced
electrodes and CoverEdge 32 X has 4x8 widely- spaced electrodes.
Up to 70cm in length $12,200.00
BS312 Infinion CX Lead 1 x 16 lead with two 8 contact tails 50 - 70cm $9,000.00
>8 electrodesBoston Scientific Australia Pty Ltd
BS110 Precision SCS 16 Point Leads 16 contact point leads with independent current
controlled.
50cm - 70cm $7,640.00
MC776 Specify 5-6-5 Surgical Lead Triple Array 16 Electrode Surgical Lead with
Duraloc Technology
30, 65cm $7,640.00
MC942 Specify 2x8 Surgical Lead Surgical Lead 30cm and 65cm $7,640.00
St Jude Medical Australia Pty LtdSJ138 Lamitrode Lead - Tripole 16C Tripole 16C - 3214, 3128, 3219, 3220, 3221 30-110cm $7,640.00
SJ169 ANS Spinal Cord Stimulation System (SCS)
Lamitrode Dual 8 Plate Electrode Lead One size only $7,640.00
SJ191 Lamitrode C Series Leads Lamitrode C Series, 16 Channel, Model # 3289 Length = 60cm $7,640.00
SJ231 Penta Leads Paddle leads (Penta Leads have a curved paddle instead of a conventional flat paddle)
2-3mm, 30cm-110cm $7,640.00
Medtronic Australasia Pty Ltd
MC827 Medtronic Pisces Quad Leads Pisces Quad Lead (3487A), Pisces Quad
Compact Lead (3887), Pisces Quad Plus Lead (3888)
MC828 Medtronic Resume Surgical Leads Surgical Leads - Resume II (3587A), Resume
TL (3986A)
Various $3,400.00
25cm $3,400.00
MC829 Medtronic On Point Lead On point peripheral nerve lead kit (3987A) 25cm $3,400.00
Billing Code Product Name Description Size
St Jude Medical Australia Pty Ltd
Benefit
Benefit
Condition
SJ162 ANS Spinal Cord Stimulation System (SCS)
Quattrode Lead. 4 Electrode. 30cm, 60cm, 90cm 110cm $3,400.00
SJ186 Lamitrode S Series Leads Lamitrode S Series, 4 Channel, Model # 3243 Length = 30cm $3,400.00 SJ187 Lamitrode S Series Leads Lamitrode S Series, 4 Channel, Model # 3246             Length = 60cm, 90cm, 110cm             $3,400.00
SJ359 Axium Neurostimulator System - Implant Lead Kit
Implant lead kit and Implant lead kit, slim tip Package containing either 50cm or 90cm lead $3,400.00
BS109 Precision SCS Eight Contact Leads Eight contact percutaneous leads. 30cm to 70cm $4,230.00
Emergo Asia Pacific Pty LtdER006 Nevro Spinal Cord Stimulation
System (SCSS) - Lead Kit
Medtronic Australasia Pty Ltd
The percutaneous lead is intended to be single use and interfaces with the Implantable Pulse Generator, lead extender OR cable, and lead accessories.
Spacing: 1-9mm spacing, 1-9mm in 1mm increments; Length: 30-90cm in 5cm increments
$4,230.00
MC135 Medtronic Specify Lead 8 electrode surgical lead kit One size only $4,230.00
MC361 2X4 Hinged Surgical Lead model
3999
MC690 Neurostimulation System - Octad
Leads
MC710 Neurostimulation System - Octad
Leads
MC711 Neurostimulation System - Octad
Leads
MC712 Neurostimulation System - Octad
Leads
Materials: silicone rubber, platinum-iridium, polyurethane
Octad Standard Lead Kit without Percutaneous Extension Model 3777,
Octad Standard Lead Kit with Percutaneous extension model 3877
Octad Compact Lead Kit without Percutaneous Extension Model 3778
Octad Compact Lead Kit with Percutaneous Extension Model 3878
30, 45 & 60cm $4,230.00
45, 60 & 75cm $4,230.00
45, 60 & 75cm $4,230.00
45, 60 & 75cm $4,230.00
45, 60 & 75cm $4,230.00
MC740 SCS Sub Compact Lead Octad Sub Compact Lead Kit without
Percutaneous Extension Model 3776
MC759 SCS Sub Compact Lead Ocatd Sub Compact Lead Kit with
Percutaneous Extension Model 3876
45, 60 and 75cm $4,230.00
45, 60 and 75cm $4,230.00
MI136 Vectris Surescan MRI Neurostimulation Leads
Octad Compact Lead Kit Model 977A2, Subcompact lead Kit Model 977A1
60cm, 75cm, 90cm $4,230.00
SJ161 ANS Spinal Cord Stimulation System (SCS)
Octrode Lead. 8 Electrode (thoracic or cervical placement).
30cm, 60cm, 90cm 110cm $4,230.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
SJ168 | ANS Spinal Cord Stimulation System (SCS) | Lamitrode Plate Electrode | 60cm, 90cm, 110cm | $4,230.00 |
|
|
SJ184 | Lamitrode S Series Leads | Lamitrode S Series, 8 Channel, Model # 3283 | Length = 30cm | $4,230.00 |
|
|
SJ185 | Lamitrode S Series | Lamitrode S Series, 8 Channel, Model # 3286 | Length = 60cm, 90cm, 110cm | $4,230.00 |
|
|
SJ188 | Lamitrode C Series Leads | Lamitrode C Series, 8 Channel, Model # 3245 | Length = 60cm, 90cm, 110cmm | $4,230.00 |
|
|
4.5.3.2 - Trial Lead
Boston Scientific Australia Pty LtdBS118 | Precision SCS Lead Blanks | Lead Blank | One Size Only | $485.00 |
BS119 | Precision SCS Trial Leads | Trial Leads | 30cm - 70cm | $485.00 |
| Medtronic Australasia Pty Ltd |
|
|
|
MI137 | Medtronic Vectris Neurostimulation Trial Lead | Octad Compact Trial lead Kit Model 977D2 and Subcompact Model 977D1 | 60cm $485.00 | |
4.5.4 - Lead Extension
Boston Scientific Australia Pty Ltd
BS111 | Precision SCS Lead Extensions | Lead Extensions | 25cm to 55cm | $1,510.00 |
BS158 | Precision Connector M1 | Lead extension for Precision SCS System | 35. 55. 70 cm length | $1,510.00 |
BS169 | Precision SCS Splitter | Lead extension for connection of multiple leads | Multiple Configurations | $1,510.00 |
| Emergo Asia Pacific Pty Ltd |
|
|
|
ER007 | Nevro Spinal Cord Stimulation System (SCSS) - Lead Extension Kit | The lead extender is intended to be used when the implant site for the Implantable Pulse Generator is too far from the stimulation site to directly connect the stimulation lead. | Length: 15cm-60cm, in increments of 5cm | $1,510.00 |
ER102 | Nevro Spinal Cord Stimulation System (SCSS) - Pocket Adaptor Kit - S8 | The Pocket Adaptor is intended to be used when replacing a previously implanted Pulse Generator with the Nevro Implantable Pulse Generator. The Pocket Adaptor interfaces the Nevro Implantable Pulse Generator to another manufacturer's previously implanted compatible lead or lead extension. | Length of 10cm to 60cm, in increments of 1cm. | $1,510.00 |
Billing Code Product Name Description Size
Benefit
Benefit
Condition
ER130 Nevro Spinal Cord Stimulation
System (SCSS) - Pocket Adaptor Kit - M8
Medtronic Australasia Pty Ltd
The Pocket Adaptor is intended to be used when replacing a previously implanted Pulse Generator with the Nevro Implantable Pulse Generator. The Pocket Adaptor interfaces the Nevro Implantable Pulse Generator to another manufacturer's previously implanted compatible lead or lead extension
Length of 10cm to 60cm, in increments of 1cm $1,510.00
MC315 Low Profile Impedance Extension Kit for SCS Model 7489
Silicone rubber 10, 25, 40, 51, 66cm $1,510.00
MC688 Neurostimulation System - Extensions 1 x 8 Synergy Extension Kit Model 7472; 1 x 8
Extension Kit Model 37081
MC733 Quadripolar Stretch-Coil Extensions Model 37083 Single, Silver and Silicone
Rubber
MC734 Quadripolar Stretch-Coil Extensions Model 37082 Bifurcated, Silver and Silicone
Rubber
20, 40 & 60cm $1,510.00
20cm - 60cm $1,510.00
20cm - 60cm $1,510.00
MC941 Pocket Adaptors for Spinal Cord
Stimulation
Pocket Adaptors for Spinal Cord Stimulation (Single and Dual Channel)
25.5cm and 27.4cm $1,510.00
SJ160 ANS Spinal Cord Stimulation System (SCS)
Lead Extensions - in addition to 3341, 3342, 3343, 3382 and 3383, additional model 3346 - Dual Quad Extension and 3386 - single octrode extension
60cm length $1,510.00
SJ178 A127 Lead Extension A127 Lead Extension 15cm, 40cm, 60cm, 90cm $1,510.00
SJ358 Axium Neurostimulator System - Lead Extension Kit
4.5.5 - Accessories
Lead extension kit. 1 size (1 presentation) $1,510.00
MC094 Stimulator Accessory Kit - Pisces
Quad; Pisces Z Lead Revision Kit; Pisces Quad Revision Kit; Octad Revision Kit
Model 3550-10 revision kit. 1 x boot, 1 x twistlock anchor, 2 x silicone anchors, 1 x hex wrench, 1 x epidural needle 15 gauge, 1 x percutaneous extension (inline) with set screws, 1 x ball-tipped (bent) 28cm stylet for Pisces- Quad lead, 1 x ball-tipped (
One size only $545.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
MC689 | Lead Revision Kits | Sterile Revision Kit for Octad leads 45cm (3550-26), Sterile Revision Kit for Octad leads 60-75cm (3550-27) | 30 & 45cm; 60 & 75cm | $545.00 |
|
|
MI140 | Revision kit Surescan MRI leads | Sterile Revision Kit for Surescan MRI leads | 60cm, 75cm, 90cm | $545.00 |
|
|
St Jude Medical Australia Pty LtdSJ356 Axium Neurostimulator System - Lead accessories kit
4.5.5.2 - Plug
Lead accessories kit. 1 size (1 presentation) $545.00
BS121 Precision SCS IPG Port IPG Port Plug One Size Only $168.00
Emergo Asia Pacific Pty LtdER042 Nevro Spinal Cord Stimulation
System (SCSS) - IPG Port Plug Kit
Medtronic Australasia Pty LtdMC687 Neurostimulation System - Accessory Kits
MC825 Medtronic Percutaneous Quad
extension
The Implantable Pulse Generator (IPG) Port Plug is provided to seal the port of the IPG that is not is use.
Lead Accessory Plug and Closed Boot Kit Model 3550-29
Percutaneous extension (in line connector for quadripolar leads only)
N/A $168.00
. $168.00
One size only $168.00
MI050 Synergy IPG Connector Plug Synergy IPG Connector Plug Various $168.00
St Jude Medical Australia Pty LtdSJ290 Port Plug Port Plug One size only $168.00
SJ291 Port Plug, Eon IPG Port Plug, Eon IPG One size only $168.00
4.5.5.3 - Intraoperative Accessories
BS120 Clik Anchor Kit 2 x Clik or Clik X Anchors One Size Only $336.00
BS246 Introducer Kit Introducer intended for the percutaneous introduction and placement of leads.
Length: 13cm; 23cm. $168.00
BS247 Stylet Kit Stylet Kit with steering cap and stiffer stylet Stiffer stylet length: Up to 70cm $168.00
BS249 Medical Adhesive Medical adhesive is used to assist in fixing the lead to the suture sleeve.
One size $168.00
BS256 Tunnelling Tools Aid in placement of leads. Various $168.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
BS257 Wrenches Used to secure leads and anchors. One size only $168.00
BS258 Insertion Needles Aid in placement of leads. Various $168.00
BS259 Passing Elevators and Paddle Blanks Aid in placement of leads, helps verify that the
epidural space is cleared.
Various $168.00
ER036 Nevro Spinal Cord Stimulation
System (SCSS) - Coiled Lead Blank Kit
ER037 Nevro Spinal Cord Stimulation
System (SCSS) - Insertion Needle Kit
ER038 Nevro Spinal Cord Stimulation
System (SCSS) - Tunneling Tool Kit
ER039 Nevro Spinal Cord Stimulation
System (SCSS) - Cable Kit
ER040 Nevro Spinal Cord Stimulation
System (SCSS) - Lead Anchor Kit
ER041 Nevro Spinal Cord Stimulation
System (SCSS) - Torque Wrench Kit
The Coiled Lead Blank made out of stainless steel is optionally used during surgery to clear a path for the introduction of the SCS Lead into the epidural space. The coiled lead blank is a tool used to help clear obstructions within the cannula of the insertion needle and may be used by the physician to verify access to the epidural space.
The Insertion Needle is used during implant surgery to introduce the Lead between the vetebra into the epidural space. The insertion needle is a two part needle that contains a cannula and stylet to facilitate access to the spinal canal for lead placement
The Tunneling Tool creates a subcutaneous tunnel from the Implantable Pulse Generator (IPG) site to the midline incision. The tunneling tool is passed subcutanously to deliver the leads from needle insertion site to the IPG site
The cables are used during the Lead implant procedure and patient trial to make electrical and mechanical connections between the Trial Stimulator and the Lead or Lead extension. There is a separate adaptor cable that allows the use of the Medtronic lead with the Nevro Senza System
The Lead Anchors are used to anchor the lead to the fascia or supraspinous ligament. Lead Anchors are designed to slide freely over the lead length to the required fixation position and sutures are then tied around the anchor clamping the sleeve in place on the lead.
The Torque Wrench is used to tighten the set screws that lock the lead into the Implantable Pulse Generator or to lock the lead into a lead extension
N/A $168.00
Length: 5-15cm, in increments of 1cm $168.00
Length: 20-50cm, in increments of 1cm $168.00
N/A $168.00
N/A $168.00
N/A $168.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
ER043 Nevro Spinal Cord Stimulation
System (SCSS) - IPG Template Kit
The Implantable Pulse Generator (IPG) Template is an aid for the physician to assist in the proper sizing of the IPG pocket.
N/A $168.00
ER044 Nevro Spinal Cord Stimulation
System (SCSS) - Stylet Kit
Medtronic Australasia Pty Ltd
The Stylets are used to push and "steer" the stimulation Lead into place. These are standard configurations offered across industry offering the implanter the flexibility to maneuver the leads through the epidural space to the desired implant location.
Offered in Straight, Curved or Tapered versions.
Diameter: 0.3mm or 0.35, Length:30-90cm in 5cm increments,
Angle: 15-30 degrees in 5 degree increments
$168.00
MC731 Titan Anchor Silicone with titanium insert One size only $168.00
MC930 3550-P4 Passing Elevator Accessory Kit
Kit Contents: 4 Passing Elevators compatible with various leads
One size $168.00
MC931 3550-63 Percutaneous Lead
Introducer Accessory Kit
Percutaneous Lead Introducer Accessory Kit One size only $168.00
MC951 Multi-Lead Trialing Cable Connector for implanted lead to External
Neurostimulator
One size only $168.00
MI038 Medtronic Neurostimulation Accessories (Wrenches and screws)
MI039 Medtronic Neurostimulation Accessories (Needles)
MI051 Medtronic Neurostimulation Tunnelling Tools
MI052 Medtronic Neurostimulation Accessory Kits
Accessories for implant of neurostimulation lead One size only $168.00
Accessories for implant of neurostimulation lead Various $168.00
Tunnelling Tools Various $168.00
EZ Anchor, Boot and Anchor Kit Various $168.00
MI055 Medtronic Pocket Sizer Implant accessory designed to aid in the
creation of a pocket for Medtronic implantable neurostimulators.
One size only $168.00
MI067 Injex Anchor Kit Neurostimulation Anchor Kit One Size $168.00
St Jude Medical Australia Pty LtdSJ285 Strain Relief Strain Relief One size only $168.00
SJ286 Anchor (Swift Lock) Swift Lock Anchor One size only $168.00
SJ287 Anchor (Cinch) Cinch Anchor One size only $168.00
SJ288 Anchor (Butterfly) Lead Anchor (Butterfly) One size only $168.00
SJ289 Anchor (long) Lead Anchor (Long) One size only $168.00 SJ302 Epidural Needle A tool used to introduce a lead percutaneously.             14-15 Gauge, 4-6 inch             $168.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
SJ303 Dual Quad Trial Adaptor A tool used to connect two four-contact leads to
a single port of a non-sterile external power source.
SJ304 Introde-AK Lead Introducer A flexible tool passed over a partially-
implanted lead or guide wire in order to establish the appropriate pathway for a lead to follow in the epidural space despite obstructions.
SJ305 Tunneling Tool A tool used to creat a subcutaneous passage to pass the lead from the lead implant site to the IPG pocket site.
SJ306 Guide Wire for Percutaneous Leads A tool used to establish and/or access the
appropriate pathway in the epidural space before implanting the lead.
SJ307 Straight and Curved Stylet A tool used to aid in positioning and
repositioning the lead intra-operatively to ensure accurate placement.
SJ308 Torque Wrench A tool to set or release the IPG setscrew that connects an implanted lead to the IPG header.
One size $168.00
4" and 9" $168.00
12", 20" $168.00
One size $168.00
30cm - 90cm $168.00
One size $168.00
SJ315 Standard Trial Cable Octrode and
Quattrode
Connector which connects implanted lead to external stimulator
One size $168.00
SJ357 Axium Neurostimulator System -
Connector Cable Kit
SJ360 Axium Neurostimulator System - Tunneling Tool
Connector cable kit. 1 size (1 presentation) $168.00
Tunneling tool. 30cm or 51cm $168.00
SJ361 Axium Neurostimulator System - Curved Needle
4.5.5.4 - Lead Delivery System
A curved needle (one size 14G,4.5in), a single use accessory, providing access to the epidural space during the surgical procedure of inserting a Neurostimulation System.
One Size - (14G, 4.5in) $168.00
SJ283 Epiducer - Lead Delivery System Lead Delivery System 13cm, 19cm $730.00
SJ354 Axium Neurostimulator System -
22cm Delivery Sheath Kit - small curve and big curve
22cm delivery sheath kit - small curve and big curve.
2 sizes (2 presentations)
1 x Big Curve -MN23950AU
1 x Small Curve - MN23850AU
$730.00
Billing Code Product Name Description Size
4.5.5.5 - Connectors and Cables
Benefit
Benefit
Condition
Boston Scientific Australia Pty Ltd
BS248 OR Cable OR Cable Lengths up to 65cm $200.00
Medtronic Australasia Pty LtdMI049 Medtronic Neurostimulation Screening Cable
Screening Cable One size only $200.00
SJ371 St Jude neurostimulation screening
cable
SJ372 St Jude neurostimulation trial header connector
MultiLead screening cable one size only $200.00
Trial System Header Connector one size only $200.00
Medtronic Australasia Pty Ltd
MC313 Synchro Med II Pump Model No's 8637-20 & 8637-40, Composition -
Titanium
20 ml & 40 ml $16,250.00
MC944 8835 Personal Therapy Manager for Synchromed Pumps
4.6.3 - Intrathecal Catheter
Personal Therapy Manager for SynchroMed II implantable infusion pumps
One size only $1,500.00
MC741 Indura Intrathecal Catheter Sutureless pump connector, Silicone, Titanium
and Nylon
One size only $1,100.00
Billing Code Product Name Description Size
Reinforced
Medtronic Australasia Pty Ltd
Benefit
Benefit
Condition
MI027 Medtronic Ascenda Intrathecal
Catheter
4.6.4 - Accessories
Intrathecal Catheter 114cm, 140cm $1,100.00
MI028 Medtronic Ascenda Component Accessory Kits
Accessories for implantable drug pumps The Ascenda Kit consists of single-use aids
integral for implanting the Intrathecal Catheter (App 028), which are only suitable for use with the patient in whom the intrathecal catheter is implanted.
Kit includes:
- Anchor with anchor dispenser
- Anchor removal tool
- Catheter connector with 2 attached coils.
One size $163.00
The Ascenda provides better stabilization and reduced catheter dislodgement due to a newly designed anchor and dispensing tool.
MI048 Intrathecal catheter accessory Tunnelling rods - Stainless steel 38-60cm $163.00
04.06.04.01 - Revision Kit
MC774 8578 Sutureless Pump Connector Sutureless Pump Connector: Material
radiopaque silicon titanium, nylon
One size only $600.00
MC817 Medtronic Intrathecal Catheter
Revision Kit (Proximal)
MC818 Medtronic Intrathecal Catheter
Revision Kit (Distal)
MI029 Medtronic Ascenda Spinal Segment
Revision Kit
Revision kit to repair proximal end of intrathecal catheter (8596SC)
Revision kit to repair distal end of intrathecal catheter (8598A)
Intrathecal Catheter Spinal Segment Revision Kit
66cm $600.00
38.1cm $600.00
One Size $600.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
MI030 | Medtronic Ascenda Pump Segment Revision Kit | Intrathecal Catheter Pump Segment Revision Kit | One Size | $600.00 |
|
|
04.06.04.02 - Refill/Catheter Access Kits
| Medtronic Australasia Pty Ltd |
| ||
MI040 | Medtronic Infusion Pump Accessories | Accessories for refill/catheter access of infusion pumps | Various | $40.00 |
MI164 | Medtronic Infusion Pump Refill Kit | Bulk Refill Kit containing 8 refill packs | One size only | $163.00 |
4.7.1 - Vagal nerve stimulators
4.7.1.1 - Implantable pulse generator
SA174 VNS Therapy Pulse/Pulse Duo Model 102/102R Generator One size only $12,670.00
4.7.1.2 - Lead
SA175 VNS Therapy Lead Model 302 One size only $3,400.00
4.8.1 - Stent
AS196 Solitaire Solitaire Neurovascular Remodelling Device is a self-expanding, fully retrievable device which can be delivered and deployed by a single operator.
Diameter: 3-6mm Length: 15-40mm
$7,500.00
JJ650 Cordis Enterprise Vascular Reconstruction Device and Delivery System
Closed Cell Design Nitinol Neurovascular 4.5 mm in diameter and 4 different lengths:
14mm, 22mm, 28mm and 37mm
$7,500.00
HW464 Neuroform Microdelivery Stent
System
Nitinol Self-Expanding Stent, 3fr delivery catheter, peelable sheath, 2fr stabilising catheter, rotating haemostasis valve (x2)
Diameter 2.5 - 4.5 mmLength 10 - 30 mm $7,500.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
HW469 | Neuroform EZ Stent System | Self expanding Nitinol stent with delivery system | 2.5-4.5mm | $7,500.00 |
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HW470 | Wingspan Stent System | Wingspan Self Expanding Nitonol Stent and delivery catheter | Stent diameters: 2.5mm to 4.5mm; Stent lengths: 9.0mm to 20.0mm | $7,500.00 |
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Culpan Medical PtyCB012 LVIS Intraluminal Support Device Self-expanding intracranial vascular stent Diameters: 2.5, 3.5, 4.5, 5.5mm
Lengths: 9-30mm
$7,500.00
NG053 Leo+ Leo+ Stent D 2.0mm L 12mm, 18mm, 25mm.
D 2.5mm L 12mm, 18mm, 25mm, 30mm, 35mm.
D 3.5mm L 12mm, 18mm, 25mm, 30mm, 35mm, 50mm.
D 4.5mm L 15mm, 20mm, 25mm, 30mm, 40mm, 50mm, 75mm.
D 5.5mm L 25mm, 30mm, 35mm, 50mm, 60mm, 75mm.
$7,500.00
Billing Code Product Name Description Size
Stryker Australia Pty Ltd
Benefit
Benefit
Condition
HW567 Neuroform ATLAS Stent System The Neuroform Atlas (Atlas) Stent System is
intended to be used for stent assisted embolization for intracranial aneurysm therapy. The purpose of the stent is to retain the occlusive devices within the aneurysm. Occlusive devices can be delivered prior to stent placement or after stent placement. The Atlas Stent System consists of a self-expanding, sterile, nitinol stent preloaded over a delivery wire inside an introducer sheath. The sheath and delivery wire are used to transfer the stent into a 0.0165 to 0.017 inch internal diameter microcatheter. After transferring the stent, the sheath is removed from the proximal end of the delivery wire. The delivery wire is then used to advance the stent to the distal end of the microcatheter. The microcatheter and stent system are repositioned as a unit to ensure the stent is located across the aneurysm. The stent is deployed by stabilizing the delivery wire and withdrawing the microcatheter. The Neuroform Atlas stent cannot be repositioned or captured once deployed.
Stent Diameter (mm): 3.0, 4.0, 4.5
Stent Length (mm): 15, 21, 24, 30
$7,500.00
AS193 Axium Detachable Coil System Platinum alloy coils (including coils enlaced
with PGLA filaments and Nylon Fibers) attached to a composite implant delivery pusher with a radiopaque positioning marker. The proximal end of the pusher is loaded into the Actuator which detaches the coil.
Diameter: 1.5 - 25mm; Length: 1 - 50cm $1,505.00
CB010 Hydrocoils Framing and filling coils with Hydrogel. Diam: 1-24mm Length: 1-50cm
$1,505.00
Billing Code Product Name Description Size
ev3 Australia Pty Ltd
Benefit
Benefit
Condition
EE034 Concerto Detachable Coil System Platinum alloy coils (including coils enlaced
with PGLA filaments and Nylon Fibers) attached to a composite implant delivery pusher with a radiopaque positioning marker. The proximal end of the pusher is loaded into the Actuator which detaches the coil.
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
Diameter: 1.5 - 25mm; Length: 1 - 50cm $1,505.00
MN137 | Ultipaq Microcoil System | Platinum Coil | 2 to 4mm loop diameter | $1,505.00 |
MN139 | Helipaq Microcoil System | Platinum Coil | 2 to 20mm coil diameter | $1,505.00 |
MN140 | Micrusphere Microcoil System | Platinum Coil | 2 to 18mm loop diameter | $1,505.00 |
MN142 | Helipaq Microcoil System | Cerecyte coils | 2 to 20mm loop diameter | $1,505.00 |
MN143 | Ultipaq Microcoil System | Cerecyte coils | 2 to 4mm loop diameter | $1,505.00 |
MN144 | Micrusphere Microcoil System | Cerecyte coils | 2 to 18mm loop diameter | $1,505.00 |
MN145 | Presidio Microcoil System | Cerecyte coils | 4 to 20mm loop diameter | $1,505.00 |
MN146 | Cashmere Microcoil System | Platinum and Cerecyte coils | 2 to 12mm loop diameter | $1,505.00 |
MN165 | Delta Coiling Systems | Triangular (Delta) wind endovascular coils | 1.5 to 24mm diameter | $1,505.00 |
Penumbra Neuro Australia Pty Ltd | ||||
PN003 | Penumbra Coil System / Penumbra Complex Standard Coil 400 | Frame configuration coil, three-dimensional complex shape, stiffest coil within the system, first coil to be placed, frames area of embolisation and holds subsequent coils within this zone. | Diameters: 3-24mm Lengths: 6-57cm | $1,505.00 |
PN004 | Penumbra Coil System / Penumbra Complex Soft Coil 400 | Fill configuration coil is used to fill empty space within the frame coil. The stiffness allows for a traumatic interaction with the aneurysm wall and primary packing of the occlusion site (aneurysm). | Diameters: 3-24mm Lengths: 6-57cm | $1,505.00 |
PN005 | Penumbra Coil System / Penumbra J Soft Coil 400 | Finish Coil Implant (J Soft) fills small empty pockets remaining within the occlusion site. The J shaped tip and stiffness allows the coils to manoeuvre and fill the remaining pockets after use of the primary Fill Coils. | Lengths: 1-15cm | $1,505.00 |
PN006 | Penumbra Coil System / Penumbra Curve Extra Soft 400 | The Soft Finish Coil Implant (Curve Extra Soft) is used for final packing of the aneurysm. The serpentine shape and the lowest stiffness allow the coils to manoeuvre and fill any remaining pockets after use of the other coil types. | Diameters: 2-4mm Lengths: 1-20cm | $1,505.00 |
Billing Code Product Name Description Size
Benefit
Benefit
Condition
PN009 Penumbra Complex Extra Soft Coil
400
Stryker Australia Pty Ltd
The Soft Finish Coil Implants (Complex Extra Soft) are used for final packing of the aneurysm. The coil combines the shape of the complex standard coil, with the lowest stiffness of the Curve Extra Soft coil. The Soft Finish Coil Implants are available in varying diameters and lengths to accommodate physician need.
Secondary diameters: 2-4mm; Lengths: 2- 10mm
$1,505.00
HW465 GDC 360 Shaped Detachable Coil Stretch-Resistant Bare Platinum Coil, 360 Length: 5cm to 40cm; Diameter: 2mm to
24mm
$1,505.00
HW471 Guglielmi Detachable Coil (GDC) Stretch-Resistant Bare Platinum Coil 2-20mm x 4-30cm $1,505.00
HW472 Matrix Detachable Coils PGLA-Coated, Stretch-Resistant, Platinum
Coils
Length: 2cm to 40cm, Diameter: 2mm to 24mm
$1,505.00
WC061 Detachable Coil System Microembolisation Coils - Platinum 011/018 2-20mm diameter, 2 - 50cm length $1,505.00
CB011 Microplex Coils Framing and filling coils Diam: 1-24mm Length: 1-68cm
$1,505.00
JJ960 Orbit Galaxy Microcoil Length 1.5 to 30cm $1,505.00
Penumbra Neuro Australia Pty LtdPN014 Penumbra Smart Coil The Penumbra Smart Coil System is comprised
of the The Penumbra Smart Coil, a platinum embolization coil attached to a composite delivery pusher with a radiopaque positioning marker and the Penumbra Smart Coil Detachment Handle.
Standard: Diameter 3-18mm, Length 3-60cm; Soft: Diameter 1-14mm, Length 2-45cm; Extra Soft: Diameter 1-6mm, Length 1-20cm;
Helical Extra Soft: Diameter 1-6mm, Length 1- 20cm.
$1,505.00
HW467 Target Detachable Coils Detachable Platinum coils Coil Diameter: 1mm to 24mm
Coil Length: 1cm to 50cm
$1,505.00
Billing Code Product Name Description Size
4.8.3 - Assist Devices
04.08.03.01 - Catheters
Benefit
Benefit
Condition
AS198 | Covidien Pty Ltd ev3 Occlusion Balloon Catheters |
Single lumen balloon catheter to temporarily |
3-7mm diameter; 7-30mm length |
$700.00 |
|
| occlude the central lumen allowing inflation of the balloon during neurosurgical and vascular procedures. |
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AS201 | Marksman Microcatheters | The MARKSMAN Microcatheter is a variable stiffness, single lumen catheter designed to access small, tortuous vascular areas. The outer surface of the catheter's distal segment is coated with a hydrophilic material to provide lubricity during use. The catheter also incorporates a PTFE liner to facilitate movement of delivery devices passed through its lumen and has a radiopaque marker at the distal tip to facilitate fluoroscopic visualization. The distal tip of the catheter is shapeable. | Outer Diameter: 2.8F Inner Diameter: 0.027" Length: 105-150cm | $700.00 |
AS202 | Micro Catheters | For the delivery of therapeutic agents such as embolisation coils and liquid embolics; and diagnostic agenst such as contrast media. | Length: 135 - 170cm; Diameter: 3.0 - 1.3 Fr | $700.00 |
AS208 | Navien Intracranial Catheter | The Navien Intracranial Support Catheter is a single lumen, flexible, variable stiffness composite catheter. The catheter shaft has a hydrophilic coating to reduce friction during use. The Navien Intracranial Support Catheter is visible under fluoroscopy. | 105 - 130cm length; 5.0 - 6.3 Fr gauge | $700.00 |
| Culpan Medical Pty |
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CB014 | Headway Microcatheter | Single lumen microcatheter | Internal diameter: 0.42mm - 0.69mm Outside diameter - distal: 1.6 - 2.6 Fr Outside diameter - proximal 2.1 -3.1 Fr Length: 150cm to 167cm | $700.00 |
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes | ||||
JJ488 | Prowler Infusion Catheters | Braid/coil catheter | Size: 50cm - 170cm. | $700.00 |
MN136 | Envoy Guiding Catheters | Guiding Catheters | 90 to 105cm length | $700.00 |
MN166 | Transit Microcatheter System | Transit and Rapidtransit Microcatheters | 75 to 175cm | $700.00 |
MN167 | Ascent Balloon Catheter System | Coaxial dual lumen balloon catheter | 4-6mm diameter | $700.00 |
Billing Code Product Name Description Size
Lifehealthcare Pty Ltd
Benefit
Benefit
Condition
LH499 Sequent VIA Microcatheter A sterile single lumen device with one distal tip
marker
N Stenning & Co Pty Ltd
Lengths: 133-161cm
Diameters: 0.53-0.84mm; 0.91-1.27mm; 0.84- 1.14mm
$700.00
NG056 SONIC Microcatheter Micro catheter DMSO compatible Dia: 1.2fr or 1.5fr
Length: 165cm or 190cm
$700.00
NG057 Balt Remodelling Balloon Remodelling Balloon Kit, includes a 200cm
tapered Hybrid Guidewire.
NG066 VASCO+ A progressive step braided micro-catheter with radio-opaque markers on the distal tip used to assist in the treatment of aneurysms and other neurological disorders.
SCOPERNIC10: 10mm balloon length, max fill volume 0.30ml;
SCOPERNIC15: 15mm balloon length, max
fill volume 0.35ml;
SCOPERNIC20: 20mm balloon length, max fill volume 0.40ml;
SCOPERNIC30: 30mm balloon length, max
fill volume 0.50ml;
SECLIPSE7: Balloon length 7mm, balloon dia 4 to 6mm, max fill vol 0.20ml;
SECLIPSE9: Balloon length 9mm, balloon dia
4 to 6mm, max fill vol 0.25ml; SECLIPSE12: Balloon length 12mm, balloon dia 4 to 6mm, max fill vol 0.30ml; SECLIPSE15: Balloon length 15mm, balloon dia 4 to 6mm, max fill vol 0.40ml; SECLIPSE20 Balloon length 20mm, balloon dia 4 to 6mm, max fill vol 0.50ml.
Packaging includes one HYBRID1214D guidewire, 200cm long, with Proximal Stainless Steel and distal nitinol.
Distal outer Diameter: 1.5 - 5F Proximal Outer Diameter: 2.4F - 5F Length: 135 - 155mm
$700.00
$700.00
NG072 Fargo Guiding Catheters Outer Ø Proximal . 4.2F - 6.0F Outer Ø Distal : 3.9F - 6.0F
Inner Ø: 1.02mm (.040") - 1.78mm (.070")
Total Length: 95cm - 135cm Distall tip Length: 2.5cm -15cm
$700.00
NG074 Double Lumen Occlusion Balloon Double lumen occlusion balloon DIAMETER: 6mm; LENGTHS: 7mm - 30mm $700.00
Billing Code Product Name Description Size
Penumbra Neuro Australia Pty Ltd
Benefit
Benefit
Condition
PN007 Penumbra Coil System / Penumbra
PX 400 Microcatheter
A variable stiffness catheter reinforced with nitinol provides access to target site, reinforcing conduit for other intravascular devices. Includes rotating hemeostasis valve, tip shaping mandrel, introducer sheath.
Length: 150cm $700.00
PN010 Penumbra Coil System / Penumbra
PX Slim Microcatheter
PN011 Penumbra Neuron Delivery Catheter 053 & 070 System
The PX SLIM Microcatheter is a variable stiffness catheter with a maximum distal outer diameter of 0.034in, 2.6 F and a maximum proximal outer diameter of 0.0387in, 2.95 F. The catheter shaft is reinforced with a nitinol coil, and has a two radiopaque markerbands on the distal end. It is available with an inner diameter of 0.025in. The microcatheter has a PTFE-lined lumen, which is coil re-enforced, flexible, and hydrophilically coated.
It is inserted through a guide catheter or vascular sheath, provides access to the target site and once in place, provides a reinforcing conduit for other intravascular devices. The device is provided sterile and includes a rotating hemostasis valve, a tip shaping mandrel and an introducer sheath. Available in various tip configurations including straight, 45º, 90º and 130º.
Neuron Intracranial Access System is a two- catheter system comprising of the Neuron Delivery Catheter. The Neuron Delivery Catheter can be used individually with a 0.038in guide wire to access the desired anatomy. The Catheter is a single lumen, coil- reinforced, variable stiffness catheter with a radiopaque marker band on the distal end and a Luer hub on the proximal end. The Catheter dimensions are included on the individual device label. The Neuron Delivery Catheter is compatible with introducer sheaths having an inner diameter of 6F or greater.
PXSLIMSTR: Tip – straight; Inner Diameter – 0.025in; Length – 150cm
PXSLIM045: Tip – 45°; Inner Diameter – 0.025in; Length – 150cm
PXSLIM090: Tip – 90°; Inner Diameter –
0.025in; Length – 150cm
PXSLIM130: Tip – 130°; Inner Diameter – 0.025in; Length – 150cm
Neuron 053 System - Proximal OD: 6F (0.079in - 0.084in), Proximal ID: 0.053in Max, Useable Length: 105cm-115cm, Distal OD: 5F (0.065in - 0.072in), Distal ID: 0.053in
Max, Tip Shape: Straight or Shaped, Distal Flexible Length: 6cm-12cm.
Neuron 070 System - Proximal OD: 6F (0.081
in - 0.084 in), Proximal ID: 0.070 in Max, Useable Length: 95cm-105cm, Distal OD: 6F
(0.081 in -0.084 in), Distal ID: 0.070 in Max, Tip Shape: Straight or Curved, Distal Flexible Length: 6cm-8cm.
$700.00
$700.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
PN013 | Penumbra Neuron Max Intracranial | The Neuron MAX System is a three-component | Delivery Catheter: Length 80 & 90cm, Outer | $700.00 |
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| Access System | system comprised of the Neuron MAX Delivery | Diameter Proximal 8F, Distal 8F. |
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| Catheter, Neuron 6F Select Catheter, and a | Select Catheter: Length 105 & 125cm, Outer |
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| Dilator. The Neuron MAX Delivery Catheter | Diameter 5.6F, Proximal 6F, Distal 5F. |
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| can be used individually with a 0.038in | Long Sheath: Length 80 & 90cm, Outer |
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|
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| guidewire or together with the Neuron 6F | Diameter Proximal 8F, Distal 8F. |
| ||
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| Select Catheter to access the desired anatomy. |
| |||
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| Neuron MAX Delivery Catheter: The Neuron |
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| MAX Delivery Catheter is a single lumen, |
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| braid-reinforced, variable stiffness catheter with |
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| a radiopaque zone on the distal end and a |
| |||
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| Luerhub on the proximal end. The Neuron |
| |||
|
| MAX Delivery Catheter dimensions are |
| |||
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| included on the individual device label. The |
| |||
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| Neuron MAX Delivery Catheter is compatible |
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| with introducer sheaths appropriately sized for |
| |||
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| the outer diameter of Neuron MAX. |
| |||
Stryker Australia Pty LtdHW468 Neuro Renegade Hi-Flo Microcatheter Microcatheter for deployment of neuroform
stent system
2.5-4.5mm $700.00
HW488 Excelsior SL-10 & Excelsior 1018 Excelsior SL-10 & the Excelsior 1018
Microcatheter is indicated to assist in the delivery of diagnostic agents, such as contrast media, and therapeutic agents, such as occlusion coils, into the peripheral, coronary and neurovasculature.
HW530 Excelsior XT27 Stryker Neurovascular Excelsior XT-27 Microcatheter is intended to assist in the delivery of diagnostic agents, such as contrast media, therapeutic agents and interventional devices, into the neurovasculature
Length: 150cm
Outer Diameter: 2.4F - 2.6F Inner Diameter: 0.165" - 0.019"
Length: 150cm / 135cm Distal Lengths: 6cm / 18cm Outer Diameter: 2.7F - 2.9F Inner Diameter: 0.027"
$700.00
$700.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
HW558 | TransForm Occlusion Balloon | The TransForm Occlusion Balloon Catheter | Effective Length: 150 cm | $700.00 |
|
|
| Catheters | consists of a single lumen catheter shaft with a | Balloon Outer Diameter: 3 mm - 7 mm |
|
|
|
|
| balloon attached at the distal end. The balloon | Balloon Nominal Length: 5 mm - 30 mm |
|
|
|
|
| is available in a compliant version and a super | Maximum Catheter Shaft Outer Diameter: 2.8 |
|
|
|
|
| compliant version. Radiopaque markers are | F |
| ||
|
| located at the proximal and distal ends of the |
| |||
|
| balloon to facilitate fluoroscopic visualization. |
| |||
|
| The balloon catheter is recommended for use |
| |||
|
| with a Stryker Neurovascular 0.014 in (0.36 |
| |||
|
| mm) guidewire to seal the distal segment of the |
| |||
|
| catheter lumen allowing inflation of the |
| |||
|
| balloon. The guidewire can be moved distally |
| |||
|
| or proximally once beyond the distal tip (seal |
| |||
|
| portion) of the catheter and still maintain a |
| |||
|
| positive seal for inflating the balloon. The distal |
| |||
|
| outer segment of the catheter shaft is coated |
| |||
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| with a hydrophilic material that reduces friction |
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| during manipulation in the vessel. A luer fitting |
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| hub at the proximal end of the catheter is used |
| |||
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| for the attachment of accessories. |
| |||
04.08.03.02 - Coil detachment device
AS197 LRS Actuator LRS Actuator is a sterile, hand held mechanical unit with a thumb slide that detaches the coil. When the slider is retracted while the pusher is loaded, it releases the coil into the targeted vaculature. Coils cannot be deployed without the use of the actuator.
Length 5.75", Diameter 1", Weight 28 grams $350.00
CB015 V-Grip Detachment Controller A battery powered device used to control
detachment of an implantable embolisation coil from a delivery pusher.
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
One size only $350.00
MN168 EnPOWER Detachment Control
System
Sterile Field Coil Detachment Control Single unit $350.00
Billing Code Product Name Description Size
Penumbra Neuro Australia Pty Ltd
Benefit
Benefit
Condition
PN008 | Penumbra Coil System / Penumbra Coil Detachment Handle | A single detachment handle which is compatible with all Penumbra Coil configurations and can be used to detach all coils needed for a single patient. | One size only | $350.00 |
PN015 | Penumbra Smart Coil Detachment | The Penumbra Smart Coil System is comprised | One size only | $250.00 |
| Handle | of the Penumbra Smart Coil and the Penumbra |
|
|
|
| Smart Coil Detachment Handle. The SMART |
|
|
|
| Coil Detachment Handle is a plastic handle |
|
|
|
| used to mechanically detach the Penumbra |
|
|
|
| SMART Coil Implant. The Detachment Handle |
|
|
|
| is a sterile, single patient device |
|
|
Stryker Australia Pty Ltd
HW466 InZone Detachment System InZone Detachment System is specifically
designed for use with the Target Detachable Coils
One size $350.00
CB013 Scepter Occlusion Balloon Catheter Intravascular occlusion balloon catheter Balloon diameter: 4mm
Balloon lengths: 10 - 20mm
$1,727.00
NG071 Copernic RC Venous remodelling balloon Diameter: 8.0 - 10mm Balloon Length: 80mm Catheter Length: 160mm
$1,727.00
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
JJ906 MicroSensor Monitoring System Ventricular catheter with transducer Catheter length 38cm $1,300.00
Skull BoltJohnson & Johnson Medical Pty Ltd t/a DePuy Synthes
MN158 MicroSensor Monitoring System Skull bolt with ICP transducer 0.7mm sensor lead diameter $1,050.00
Billing Code Product Name Description Size
04.10.01 - External Ventricular Drain
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
Benefit
Benefit
Condition
JJ907 Codman External Ventricular Drain
(EVD) Catheter
Medtronic Australasia Pty Ltd
External Ventricular Drain 1.5mm & 1.9mm diameter $185.00
MI123 EDM Ventricular Catheter External drainage ventricular catheter, non
metallic latex free. Barium impregnated, includes stainless steel stylet.
35cm $185.00
Johnson & Johnson Medical Pty Ltd t/a DePuy Synthes
JJ908 Codman Bactiseal External Ventricular Drain (EVD) Catheter
Antibiotic impregated External Ventricular Drain
1.5mm & 1.9mm lumen diameter $469.00
Billing Code Product Name Description Size
5.1.1 - Inflatable
5.1.1.1 - Pump
American Medical Systems Pty Ltd
Benefit
Benefit
Condition
AM029 AMS 800 Artificial Urinary Sphincter Pump
Control Pump One size $4,947.00
A
American Medical Systems Pty Ltd
AM050 Urinary Control System Pump Pump with InhiboZone Antibiotic Surface
Treatment
One size only. $5,343.00
5.1.1.2 - Occlusive cuff
AM001 AMS 800 Artificial Urinary Sphincter Cuff
Occlusive Cuff 13 Cuff sizes from 3.5 to 11.0 cm: Size: 3.5, 4,
4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11cm
$2,614.00
AM021 AMS 800 Artificial Urinary Sphincter Cuff
A
Silicone cuff for artificial urinary sphincter. For the implantation of the second cuff for the AMS 800
13 Cuff sizes from 3.5 to 11.0 cm: Size: 3.5, 4,
4.5, 5, 5.5, 6, 6.5, 7, 7.5, 8, 9, 10, 11cm
$2,614.00
AM051 AMS 800 Urinary Control System
with InhibiZone - cuff
5.1.1.3 - Regulating Balloon
Occlusive Cuff with InhibiZone Antibiotic Surface Treatment
13 Cuff sizes from 3.5 to 11.0 cm $2,850.00
AM028 AMS 800 Artificial urinary sphincter Pressure Regulating Balloon
Pressure Regulating Balloon 51 - 60cm, 61 -70cm, 71 - 80cm $2,057.00
DE313 Inflatable Periurethral Constrictor Consists of a membrane, filler product and
silicone tube
One size only $1,225.00
Billing Code Product Name Description Size
5.1.1.5 - Accessory kit
American Medical Systems Pty Ltd
Benefit
Benefit
Condition
AM030 AMS 800 Artificial Urinary Sphincter Accessory Kit
Accessory Kit One Size $689.00
ET057 Flow Secure Artificial Urinary
Sphincter
Artificial Urinary Sphincter with conditional occlusion, inflatable hydraulic device
One Size $10,000.00
MD Solutions Australasia Pty LtdMB003 | Adjustable Continence Therapy for Women | ACT Device: Prosthesis designed for the treatment of female SUI comprising of a single silicone balloon attached via a conduit to titanium and rubber ports allowing for post operative adjustment. | 6 - 14cm | $4,145.00 |
MB006 | Adjustable Continence Therapy for Men | ProACT Device: Prosthesis designed for the treatment of male SUI comprising of a single silicone balloon attached via a conduit to titanium and rubber ports allowing for post operative adjustment. | 6 - 14cm | $4,145.00 |
5.1.2.2 - Double
Endotherapeutics Pty Ltd
ET074 ATOMS System The ATOMS System is a long term, adjustable prostheses that substitutes urinary sphincter function in incontinent males. It is a hydraulic system comprising of a suburethral sphincter cushion/cuff which can be adjusted hydraulically intra-operatively or post- operatively through an implanted titanium port. Fixation arms and attachment sutures hold the implant in situ.
1 size only - ATS 5011 (Length of Implant 560mm, width of tape 12mm, dimensions of cushion 40x45mm, max. filling volume of cushion 25mL). Titanium port-reservoir with hydraulic tubing, one size.
$8,290.00
Billing Code Product Name Description Size
MD Solutions Australasia Pty Ltd
Benefit
Benefit
Condition
MB004 | Adjustable Continence Therapy device for women | ACT Device: prosthesis designed for the treatment of female SUI comprising of silicone balloons x 2 attached via a conduit to titanium and rubber ports allowing for post operative adjustment. | 6 - 14cm | $8,290.00 |
MB005 | Adjustable Continence Therapy for Men | ProACT Device: prosthesis designed for the treatment of male SUI comprising of silicone balloons x2 attached via a conduit to titanium and rubber ports allowing for post operative adjustment. | 6 - 14cm | $8,290.00 |
5.1.2.3 - Port
Endotherapeutics Pty Ltd
ET075 AMI ATOMS Infusion Port Hydraulic Infusion port for use with AMI
ATOMS System - seperate
22mm Diameter, 9.8mm High $1,000.00
American Medical Systems Pty LtdAM017 | InVance Male Sling System | Kit includes inserter with shaft, 6 bone screws with suture and silicone-coated sling surgical mesh | One Size | $5,718.00 |
AM048 | AMS AdVance XP Male Sling System | Sub-urethral sling implant for treatment of male stress urinary incontinence. Made from polypropylene monofilament mesh | Arm width: 1.2cm, Centre width: 3.55cm, Total Length: 35.5cm, 43.5cm | $5,718.00 |
Coloplast Pty Ltd
CT015 Virtue Male Sling System Male sling system with quadratic fixation One Size $5,718.00
Endotherapeutics Pty LtdET050 ARGUS Adjustable Male Sling made of silicone adjustable self fixating columns and urethral cushion
One size only $5,718.00
Billing Code Product Name Description Size
5.1.3.2 - Female
Benefit
Benefit
Condition
American Medical Systems Pty Ltd
AM014 Sparc Sling System Polypropylene mesh sling, two needles with rotating handles, two cystoscopy aids
AM019 MONARC Sling System Product includes - mesh and two needles with
handles attached
One size only $865.00
One Size Only $865.00
AM049 MiniArcTM Single-Incision Sling
System
The MiniArcTM Single Incision Sling System is intended for the placement of a suburethral sling for the treatment of female stress urinary incontinence (SUI) resulting from urethral hypermobility and/or intrinsic sphincter deficiency.
8.5cm $865.00
AM055 MiniArc Precise Single-Incision
Sling System
The MiniArc Precise and MiniArc Pro Single- Incision Sling System (MiniArc System) is intended for the placement of a suburethral sling for the treatment of female stress urinary incontinence (SUI) resulting from urethral hypermobility and/or intrinsic sphincter deficiency
Short Centre-Length Sling Total: 8.5cm
Centre (mid section): 2.0cm
Long Centre-Length Sling Total: 8.5cm
Centre (mid section): 5.5cm
$865.00
AM056 RetroArcâ„¢ Retropubic Sling System Female sling system for SUI 1.1 cm x 50 cm $865.00
Boston Scientific Australia Pty LtdBS078 Advantage Transvaginal Mid-
Urethral Sling System
BS096 Lynx Suprapubic Mid-Urethral Sling System
BS097 Obtryx Transoburator Mid-Urethral
Sling System
BS140 Advantage Fit Transvaginal Mid-
Urethral Sling System
Polypropylene mesh sling One size only $865.00
Polypropylene mesh Sling One size only $865.00
Polypropylene mesh sling One size only $865.00
Polypropylene mesh sling One size only $865.00
BS154 Solyx SIS System Polypropylene mesh sling One size only $865.00
BS226 Obtryx II Transobturator Mid-
Urethral Sling System
Polypropylene mesh sling One size only $865.00
CT013 Aris Transobturator Sling System Sling System for female stress urinary
incontinence
One Size $865.00
CT018 Altis Single Incision Sling System Single Incision Sling System for female SUI One size $865.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
CT021 Supris Retropubic Sling Supris Retropubic Sling System for female
urinary incontinence
One size $865.00
ET043 Safyre Autofixation System Urinary incontenence sling made of
polydimethysiloxane and polyproplene
ET060 Ophira Minisling System Mini sling system made from monofilament
mesh, held between self anchoring polypropylene columns in a fishbone design. Supplied with a retractable insertion guide for sling placement. Ophira sling has a blue loosening suture inserted in the base of one
One size only $865.00
One size. $865.00
JJ070 TVT (Tension-Free Vaginal Tape) Single use device
Undyed Prolene (polypropylene) nonabsorbable tape
11 x 450mm $865.00
JJ442 Gynecare TVT-O Items included are: Gynecare TVT Obturator device, Two Gynecare TVT Helical Passers and a Gynecare TVT Atraumatic Winged Guide. The device component of the system consists of undyed or blue Prolene Polypropylene Mesh
1.1x45 cm $865.00
MN039 Gynecare TVT ABBREVOâ„¢
Continence System
TFS Manufacturing Pty Ltd
Implant assembly consisting of mesh sling and sterile, single-patient use helical passer sheaths.
1.1cm x 12cm $865.00
TF001 TFS Tissue Fixation System TFS Tissue Fixation System One Size Only $865.00
05.01.04 - Injectable, Synthetic
LH376 Durasphere SUI Injectable Bulking agent for Stress Urinary Incontinence
1ml $531.00
GN001 Opsys Injectable SUI Opsys is a manually injectable, non-absorbable,
permanent, synthetic tissue bulking agent used in the endoscopic treatment of female Stress Urinary Incontinence.
Opsys Kit contains 5 x 1ml syringes. $531.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
GN002 | Opsys Injectable SUI | Opsys is a manually injectable, non-absorbable, permanent, synthetic tissue bulking agent used in the endoscopic treatment of female Stress Urinary Incontinence. | 1 x 1ml syringe. | $531.00 |
|
|
5.1.4.3 - 2 ml
SC001 BULKAMID Urethral Bulking
System
5.1.4.4 - 2.5 ml
Transparent polyacrylamide gel for female urinary incontinence. Kit comprises 2 syringe, 2 needles, 1 applicator
2 x 1ml syringes, 2 x BULKAMID 23G needles, 1 x disposable sheath
$1,062.00
ET053 Macroplastique Sterile, textured, highly cross linked polydimethylsiloxane elastomer implants suspended in a bio-excretable carrier gel.
2.5ml Implants $1,328.00
LH379 Durasphere SUI Injectable Bulking agent for Stress Urinary Incontinence
3ml $1,593.00
BA041 Contigen Cross Linked Collagen Contigen Bard Collagen Implant for Stress
Urinary Incontinence
2.5cc per syringe $674.00
Billing Code Product Name Description Size
5.2.1 - Fixed length
5.2.1.1 - Polyurethane
Benefit
Benefit
Condition
Applied Medical Australia Pty Ltd
MH010 Silhouette Ureteral Stent The Silhouette Ureteric Stent is manufactured
with a soft material that provides superior comfort. It has superior column strength through a coil-reinforced body providing effortless placement. The tight coils prevent migration. The smaller outside dia
Multiple French Sizes & Lengths $140.00
CT024 PU-R Double Loop Ureteral Stents Double Loop Ureteral Stents in Rigid
Polyurethane, with pusher. With or without guidewire depending on the model.
CT034 PU-S Double Loop Ureteral Stents Double Loop Ureteral Stents in Soft
Polyurethane, with pusher and guidewire.
Endotherapeutics Pty Ltd
Various in 4.8, 6, 7, 8Fr.
Various in 24, 26, 28, 30cm lengths. Various in O/O or O/C.
Various with or without guidewire. With either streerable or simple pusher
Various in 6 and 7Fr.
Various in 24, 26, 28 cm lengths. Various in O/O or O/C.
With either Steerable or simple pusher.
$140.00
$140.00
ET079 RocaJJ Soft Stent A 100% thermo sensitive, radiopaque polyurethane urethral double J stent which provides an excellent patient tolerance and a high resistance to encrustation
Fr 4.8-8, lengths from 24 - 30 cm $140.00
PP001 White Star Double-J Ureteral Stent
Set, Yellow Star Double-J Ureteral Stent Set, Green Star Double-J Ureteral Stent Set, White Star Intraoperative Double-J Ureteral Stent Set, White Star ESWL Double- J Ureteral Stent Set, White Star Stenosis Stent Set
The stent consists of a stable tube, the ends of which are formed into loops. These serve to stabilise the position of the ureteral sent. The purpose of the endoprosthesis is to restore or improve the drainage from the kidney to the bladder, to ensure ureteral drainage over and endangered segment of the ureter, to prevent development of a urine fistula into the retroperitoneum, to serve as a growth stent for the uroepithelium if there is a defect, and to prevent a stricture. When implanted, one loop is located in the renal pelvis and the other in the bladder to prevent migration.
Fr 04 - 08, length - 10 - 30cm $140.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
PP002 Yellow Star Tumor-Stent Double J
Ureteral Stent Set PC-Coated
PP003 White Star Mono Mono-J Ureteral
Stent Set, Green Star Mono Mono-J Ureteral Stent Set
Pyramed Pty Limited
The stent consists of a stable tube, the ends of which are formed into loops. These serve to stabilise the position of the ureteral stent. The phosphorylcholie coating of the tumor stent reduces the risk of infections and encrustations, which results in a prolongation of indwelling time. Phosphorylcholine is a biocompatible and durable material for sealing implant surfaces that prevents biofilm formation and subsequent encrustation. The purpose of the endoprosthesis is to restore or improve the drainage from the kidney to the bladder to ensure ureteral drainage over an endangered segment of the ureter, to prevent development of a urine fistula into the retroperitoneum, to serve as a growth stent for the uroepithelium if there is a defect, and to prevent a stricture. When implanted, one loop is located in the renal pelvis and the other in the bladder to prevent migration
The stent consists of a stable tube, one end of the endoprosthesis is to restore or improve the drainage from the kidney to the bladder, to ensure ureteral drainage over an endangered segment of the ureter, to prevent development of a urine fistula into the retroperitoneum, to serve as a growth stent for the uroepithelium if there is a defect, and to prevent a stricture. When implanted, one loop is located in the renal pelvis to prevent migration.
Fr 06 -08, length -22 - 32cm $140.00
Fr 04 - 12, length - 70cm $140.00
PY011 Optimed Opti-J Stents Dual Use directional Double J stent and
delivery system. Can also be used as urinary diversion stent.
WC281 Universa Soft Ureteral Stent Set Universa Soft Ureteral Stent Set, with or
without the TFE WireGuide, fixed length
5, 6, 7, 8Fr; 22-34cm $140.00
5, 6, 7 and 8FR in fixed lengths (18 - 30CM) $140.00
WILLIAM A COOK AUSTRALIA PTY LTD
WC022 C-Flex Double Pigtail Ureteric Stent
Set
Set includes: Stent, Wire, Positioner Multiple French Sizes, Multi-length $180.00
Billing Code Product Name Description Size
SP
Benefit
Benefit
Condition
WILLIAM A COOK AUSTRALIA PTY LTD
WC018 C-Flex Endoureteratomy Stent Set C-Flex Endoureteratomy Stent Set 6.0/10.0 Fr, & 7.0/14.0 Fr, Multiple Length $241.00
WC236 Paterson-Forrester Subcutaneous
Urinary Diversion Stent
Subcutaneous Urinary Diversion Stent Stent 8.5 French, 65cm long $241.00
Pyramed Pty Limited
PY012 Ex-Stent Tumour Ureteral Stent Set Open end stent with guide wire and pusher 6-8Fr., length 26-32cm $197.00
Teleflex Medical AustraliaTX004 Paediatric Ureteric Valve Stent Set Open end with introducer and guidewire,
Polyurethane
12 - 22cm $197.00
TX005 Paediatric Ureteric Valve Stent Set Fixed length wirthan stent 12 - 22cm $197.00
WILLIAM A COOK AUSTRALIA PTY LTDWC214 Cook Ureteral Stents Amplatz Ureteral Stent Set, Ultrathane RB Design Radioplaque Band and AQ Hydrophilic Coating Set includes one stent positioner with flexible stent introducer catheter
8.5Fr - 12,20,22,24,26,28cm and 10.2Fr -
22,24,26,28cm
$197.00
5.2.1.2 - Other synthetic
MH012 Silhouette System Ureteral Stent Set Coil reinforced body. SL-6 hydrophilic
coating. UroWire 0.035" 3-in-1 guidewire with kink resistant nitinol core. Design divided into 3 sections: silver section (front end) floppy SL - 6 hydrophilic coating; Blue section (mid) super stiff PTFE (not hydrophicaly coated); and Green section (back) flexible
Mulitple French Sizes & Lengths $198.00
CT026 Biosoft Duo Double Loop Ureteral
Stents
Biosoft Duo double loop ureteral stents supplied with simple or steerable pusher, with or without guidewire and with or without flush catheter depending on the model. Duration of Implantation: 12 months
6 - 9 Fr
20 - 30 cm
Either O/O or O/C
$198.00
CT027 Vortek Single Loop Ureteral Stents Vortek Single Loop Ureteral Stents for
drainage and urine collection
6, 7, 8 Fr
90cm length
$198.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
CT029 Vortek Double Loop Ureteral Stents Vortek Double Loop Ureteral Stents have a
double layered structure which make them easy to insert over guidewire, the stiffness of each size has been adapted in order to keep the mechanical properties.
CT030 Biosoft Minute Stent Biosoft minute double loop ureteral stent.
Ready to use; the stent is in place over the guidewire and connected to the steerable pusher. Duration of implantation: 6 months.
4.8, 6, 7 & 8 Fr
with steerable or simple pusher with or without guidewire
O/O or O/C
6 - 8 Fr
24 - 30 cm length
$198.00
$198.00
CT031 Vortek TUMOR STENT Double loop ureteral stent
Vortek Tumor Stent is reinforced with stiffness of material offering excellent resistance to compression.
7-8Fr
26-30cm in length
$198.00
CT032 Silicone Double Loop Ureteral Stent Silicone Double Loop Ureteral Stent with
guidewire and pusher
6 - 8Fr
16cm - 30cm
$198.00
CT035 Vortek Hydro-Coated Double Loop
Ureteral Stents
Endotherapeutics Pty Ltd
Vortek Hydro-Coated Double Loop Ureteral Stents with simple or steerable pusher and with or without guidewire
4.8 - 7Fr
22 - 30cm lengths
$198.00
ET078 RocaJJ Silicone Stent A 100% silicone Ureteral Double J Stent, Radiopaque, which provides an excellent patient tolerance and a high encrustation resistance.
Fr 4.8 - 8, Lengths from 24cm to 30cm. $198.00
OL078 Ureteral Stents Diversion Stent, silicone 7 - 8.5 F x 90cm $198.00
Teleflex Medical AustraliaTX003 DD Ureteric Tumor Stent Set Open/Closed end with introducer and guide
wire, Polyurethane
WILLIAM A COOK AUSTRALIA PTY LTDWC273 Ureteric Stent Set Set includes soft Aqueous Coated (AQ) ureteric stent, positioner, with or without wire guide
20 - 28cm $198.00
Multiple French Sizes and Lengths $198.00
Billing Code Product Name Description Size
P
Benefit
Benefit
Condition
Applied Medical Australia Pty Ltd
MH013 Paediatric Silhouette System Set Coil reinforced body. SL-6 hydrophilic
coating. UroWire 0.035" 3-in-1 guidewire with kink resistant nitinol core. Design divided into 3 sections: silver section (front end) floppy SL - 6 hydrophilic coating; Blue section (mid) super stiff PTFE (not hydrophilicaly coated); and Green section (back) flexible
4F, 8 - 12cm $245.00
Coloplast Pty Ltd
CT025 Stenostent Double Loop Ureteral
Stents
CT028 Pyelostent Double Loop Ureteral
Stent
Pyramed Pty Limited
STENOSTENT® Double loop ureteral stent in silicone open/open, total reinforcement with connectable pusher and fixed core guidewire
Pyelostent, Silicone stent for long-term implantation (up to 12 months)
16 - 30cm $234.00
26 - 30cm $234.00
PY001 Optimed Ureteral Stents Soft-Polyurethane. Ureteral. Paediatric
Ureteral. Renal Transplantation. Urinary Diversion.
WILLIAM A COOK AUSTRALIA PTY LTD
Ureteral 4.5 x 28,30,32 cm; 6 x 26,28,30,32
cm; 7 x 26,28,30,32 cm. Paediatric Ureteral 8 x 28,30,32 cm. Renal Transplantation 4 x 10,12,14,16 cm; 6 x 12,14,16 cm; 7 x
12,14,16 cm. Urinary Diversion 8 x 12,14,16 cm.
$234.00
WC024 Ultrathane Endoureteratomy Stent Set Ultrathane Endoureteratomy Stent Set 6/9.5 Fr & 7/14.0Fr , Multiple Length $234.00
ThermBoston Scientific Australia Pty Ltd
BS086 Polaris Ultra Ureteral Stent Dual durometer ureteral stent with attached
suture
Diameters up to 14Fr & lengths up to 40cm $214.00
BS091 Percuflex; Percuflex Plus; Percuflex
Plus SureDrive
BS092 Contour Ureteral Stent, Contour
SureDrive Ureteral Stent
Ureteral stent with attached suture Diameters up to 14Fr & lengths up to 40cm $214.00 Ureteral stent with attached suture Diameters up to 14Fr & lengths up to 40cm $214.00
BS093 Retromax Plus Ureteral Stent Ureteral stent Diameters up to 14Fr & lengths up to 40cm $214.00
BS116 Polaris Loop Ureteral Stent Dual durometer ureteral stent with attached
suture
Diameters up to 14Fr & lengths up to 40cm $214.00
BS192 Percuflex® Helical Ureteral Stent with Hydro Plus™ Coating 6fr to 8fr and 10cm to 30cm $214.00
Billing Code Product Name Description Size
WILLIAM A COOK AUSTRALIA PTY LTD
Benefit
Benefit
Condition
WC130 Ureteric Stent Set Set includes Aqueous Coated (AQ) firm fixed length ureteric stent, positioner, with or without wire guide
WC170 Universa Firm Universa Firm Double Pigtail Stent and Positioner only
Multiple French Sizes, and Lengths $214.00
Multiple French Sizes and Lengths $214.00
WC172 Universa Firm Universa Firm Double Pigtail Stent Set Multiple French Sizes and Lengths $214.00
05.02.01.03 - MetalWILLIAM A COOK AUSTRALIA PTY LTD
WC226 RESONANCE Metallic Ureteral
Stent Set
ThermEndotherapeutics Pty Ltd
Metallic Double Pigtail Stent 6 Fr, lengths 12-30cm $1,720.00
ET055 Memokath Ureteric Stent Memokath Model 051CW. 30mm - 200mm $3,778.00
MD Solutions Australasia Pty LtdMB016 Allium Ureteral Stent Round Nitinol stent with copolymer covering
and supplied premounted on a delivery tool. Intended to be inserted into the lower ureter to allow free flow of urine from the kidney to the bladder.
8mm x 100mm, 8mm x 120mm, 10mm x 100mm, 10mm x 120mm
$3,778.00
PY030 Taewoong ePTFE covered dual
nitinol ureteric stent
05.02.02 - Multi-length
Taewoong ePTFE covered dual nitinol ureteric stent
Diameter: 7 - 9mm; Length: 6 - 20cm; Delivery Device: 9 Fr; Length 70cm
$3,778.00
BA044 Ureteral Stent Hydrophilic coated ureteral stent Fr 4.7 – 8.0, Length 22-32cm $199.00
Endotherapeutics Pty LtdET080 RocaJJ Soft Hydrophilic Multi Length Stent
A hydro-coated 100% thermo senstive radiopaque polyurethane urethral multi Length Double J stent which provides an excellent patient tolerance and a high resistance to encrustation.
Fr6-7, Length 21-30cm $199.00
Billing Code Product Name Description Size
Promis Medical (Australia) Pty ltd
Benefit
Benefit
Condition
PP004 White Star Double-J Ureteral Stent
Sets Flexible length, Yellow star Double-J Ureteral Stent set flexible length, Green Start Double-J Ureteral Stent Set Flexible length
The stent consists of a stable tube, the ends of which are formed into loops. These serve to stabilise the position of the ureteral stent. The length can be adjusted to the desired length. The purpose of the endoprosthesis is to restore or improve the drainage from the kidney to the bladder, to ensure ureteral drainage over an endangered segment of the ureter, to prevent development of a urine fistula into the retroperitoneum, to serve as a growth stent for the uroepithelium if there is a defect, and to prevent a stricture. When implanted, one loop is located in the renal pelvis and the other in the bladder to prevent migration.
Fr 4.7 - 08, length - 22-30cm $199.00
WILLIAM A COOK AUSTRALIA PTY LTDWC282 Universa Soft Ureteral Stent Set Universa Soft Ureteral Stent Set, with or
without the TFE WireGuide, multi-length
5, 6, 7 and 8FR in multi-length (21-31CM) $199.00
WILLIAM A COOK AUSTRALIA PTY LTD
WC218 C-Flex Multilength Ureteric Stent Set Set includes: Paediatric Stent, Wire, Positioner 3.7 Fr, Multiple Lengths $254.00
WC219 C-Flex Double Pigtail Ureteric Stent
Set
Set includes: Paediatric Stent, Wire and Positioner
3.7 Fr, Multilple Lengths $254.00
WILLIAM A COOK AUSTRALIA PTY LTD
WC237 Radiance Ureteric Stent Set Synthetic Thermosensitive Ureteral Stent Set
with Heparin Coating
Multiple French Sizes and Lengths $261.00
CT023 Biosoft Duo Multi Length Hydro-
Coated Ureteral Stents
Olympus Australia
Biosoft Duo Multi Length Hydro-Coated Stents for drainage of upper urinary tract.
4.8, 6. 7 Fr $198.00
OL076 Ureteral Stents Single J Ureteric Stent, silicone 7 - 8.5 F x 90cm $198.00 OL077 Ureteral Stents Double J Ureteric Stent, silicone             6-8.5 F, 12 - 24 cm             $198.00
OL080 Quadra-Coil Multi Length Ureteral
Stent
Tecoflex polymer, hydrophilic coating/PTFE coating
4.5F-8.5F x length 22 - 28cm $198.00
Billing Code Product Name Description Size
WILLIAM A COOK AUSTRALIA PTY LTD
Benefit
Benefit
Condition
WC002 Sof-Flex Multi-length Ureteric Stent
Set
WC003 Sof-Flex Multi-length Ureteric Stent
Set
Set includes Stent, Wire, Positioner Multiple French Sizes, Multi-length $198.00 Stent and Positioner only Multiple French Sizes, Multi-length $198.00
WC104 Cook Ureteral Stent - Sof-Flex
Double Pigtail Stent Set - Special
Radiopaque Sof-Flex Stent, Stainless Steel Wire Guide, Radiopaque Polyurethane Catheter and Radiolucent Vinyl Positioner
Multiple French Sizes and Lengths $198.00
WC140 Filiform Multi-Length Silicone Stent Set
Stent, Wire, Positioner Multiple French Sizes and Lengths $198.00
WC147 Kwart Retro-Inject Stent Set Stent, Wire, Inserter, Release Sleeve Multiple French Sizes and Lengths $198.00
WC149 Sof-Flex Double Pigtail Ureteric
Stent Set
WC150 Sof-Flex Double Pigtail Ureteric
Stent Set
Stent and Positioner only Multiple French Sizes and Lengths $198.00 Set includes: Stent, Wire, Positioner Multiple French Sizes and Lengths $198.00
WC272 Ureteric Stent Set Set includes soft Aqueous Coated (AQ) ureteric stent, positioner, with or without wire guide
Multiple French Sizes, multi-length $198.00
WILLIAM A COOK AUSTRALIA PTY LTD
WC217 Sof-Flex Multilength Ureteric Stent
Set
WC220 Sof-Flex Double Pigtail Ureteric
Stent Set
Set includes: Paediatric Stent, Wire, Positioner 3 Fr, Multiple Lengths $259.00
Set includes: Paediatric Stent, Wire, Positioner 3 Fr, Multiple Lengths $259.00
WILLIAM A COOK AUSTRALIA PTY LTD
WC023 Greene Renal Transplant Stent Set Transplant stent set Multiple French Sizes, Multi-length $243.00
TWILLIAM A COOK AUSTRALIA PTY LTD
WC138 Filiform Double Pugtail Silicone
Stent Set
Therm
Stent, Wire, Positioner Multiple French Sizes and Lengths $265.00
BS094 Contour VL; Stretch VL Flexima;
Contour VL SureDrive
Ureteral stent with attached suture Diameters up to 14Fr & lengths up to 40cm $212.00
Billing Code Product Name Description Size
WILLIAM A COOK AUSTRALIA PTY LTD
Benefit
Benefit
Condition
WC035 Ureteric Stent Set Set includes Aqueous Coated (AQ) firm multilength ureteric stent, positioner, with or without wire guide
Multiple French Sizes, Multi-Length $212.00
WC169 Universa Firm Universa Firm Multi-length stent set Multiple French Sizes and Lengths $212.00
WC171 Universa Firm Universa Firm Multi-length Stent and Positioner only
Multiple French Sizes and Lengths $212.00
BS095 Urinary Diversion Stents Percuflex urinary diversion stent Diameters up to 14Fr & lengths up to 95cm $132.00
WC031 Bander Ureteral Diversion Stent Set Left or right stent Multiple French Sizes and Lengths $132.00
DWILLIAM A COOK AUSTRALIA PTY LTD
WC128 Bander Ureteral Diversion Stent Set Left and Right Stents Multiple French Sizes and Lengths $212.00
5.3.1 - Urethral Stents
AM003 Urolume Plus TM Endo Urethral
prostheses
Endourethral wall stent for urethral strictures, DESD and BPH
Range: 1.5 - 4.0cm $2,475.00
BA042 Memotherm Prostatic Stents Memotherm Prostatic Urethral wall Stent 36Fr, 20mm to 60mm in 5mm increments;
42Fr, 20mm to 60mm in 5mm increments
$2,475.00
ET054 Memokath Prostatic - Urethral Stents Memokath Models: 028S, 028SW, 028T,
028TW, 044T, 044TW, 045T, 045TW,
045TTW
5mm - 90mm $2,475.00
Billing Code Product Name Description Size
MD Solutions Australasia Pty Ltd
Benefit
Benefit
Condition
MB013 | Allium Bulbar Urethral Stent | Round Nitinol stent with co-polymer covering and supplied premounted on a delivery tool. | 50, 55, 60, 80 mm | $2,475.00 |
MB014 | Allium Round Posterior Urethral Stent | Round Nitinol stent with copolymer covering | The RPS has a body length of 40mm and a | $2,475.00 |
|
| and supplied premounted on a delivery tool. | main body calibre of 45Fr |
|
|
| For longer term temporary treatment of bladder |
|
|
|
| outlet obstruction caused by male stenotic |
|
|
|
| posterior urethra or stenotic bladder-neck. |
|
|
MB015 | Allium Triangle Prostatic Urethral | Round Nitinol stent with copolymer covering | Body lengths 30, 40, 50, 60, 65mm | $2,475.00 |
| Stent | and supplied premounted on a delivery tool. | main body calibre 45Fr |
|
|
| For longer term temporary treatment of bladder |
|
|
|
| outlet obstruction caused by enlarged prostate. |
|
|
5.3.1.2 - Paediatric
WILLIAM A COOK AUSTRALIA PTY LTD
WC126 | Firlit-Kluge Uretheral Stent | Firlit-Kluge uretheral stent | Multiple French Sizes, Length 30cm | $58.00 |
WC136 | Kaontz Urethral Stent | Kaontz Urethral Stent | Multiple French Sizes, Length 12cm | $58.00 |
WC162 | Tarkington Urethral Stent Set | Stent, Wire | 8 Fr | $58.00 |
5.3.2 - Prostatic Retractor
Neotract Australia Pty Ltd
$620.00
5.3.3 - Assisted Bladder Drainage
MB012 In-Flow The In-Flow is a urethral prosthesis designed to enable normal bladder drainage and toilet habits in women with chronic voiding dysfunction. The In-Flow system consists of an implantable silicone catheter containing a miniature valve-pump and a remote controlled magnet or "Activator" which causes a spinning mechanism to "draw" urine from the bladder.
3.0cm to 7.0cm in .5cm increments $141.00
Billing Code Product Name Description Size
5.3.3.2 - Activator
Benefit
Benefit
Condition
MD Solutions Australasia Pty Ltd
MB020 In-Flow - Activator Activator (Remote Control) One size only $118.00
5.3.3.3 - Sizing Catheter
MB021 In-Flow - Sizing Catheter Sizing Catheter One size only $71.00
5.4.1 - Synthetic
BS127 Polyform Synthetic Mesh Synthetic Polypropylene mesh Width Up to 15cm & lengths up to 20cm $310.00
Coloplast Pty LtdCT016 Restorelle M Smartmesh Smartmesh, Type 1, macroporous, soft, knitted,
monofilament polypropylene mesh.
15cm x 10cm
$310.00
The provision of the prosthesis is only to be funded when used in conjunction with MBS Item No. 35597.
CT019 Restorelle L Smartmesh Smartmesh, Type 1, macroprous, soft, knitted,
monofilament polypropylene mesh
JJ790 GYNECARE GYNEMESH PS Pelvic floor reconstructive material, lightweight
mesh
24cm x 8cm $310.00
10 x 15 cm $310.00
See rule 5B for effect of Condition.
American Medical Systems Pty Ltd
AM023 IntePro Large Pore Polypropylene Y- Sling
Large pore polypropylene mesh One size $677.00
BS252 Upsylon Y-Mesh Kit Y-Mesh with single use instrument for mesh placement
Graft Dimensions: 24 x 4 cm $677.00
Billing Code Product Name Description Size
Coloplast Pty Ltd
Benefit
Benefit
Condition
CT017 Restorelle Y Smartmesh Smartmesh for vaginal vault prolapse repair for
abdominal, laproscopic or robotic sacrocolpopexy.
24cm x 4cm and 27cm x 4cm. $677.00
Boston Scientific Australia Pty Ltd
BS131 Pinnacle PFR Kit Synthetic Polypropylene mesh assembly and fixation device
BS157 Pinnacle Duet PFR Kit Synthetic polypropylene mesh assemblies and
fixation device
One configuration $2,540.00
Two configurations $2,540.00
BS193 PFR Kit - Pinnacleâ„¢ LITE Anterior/Apical
Synthetic polypropone mesh assemblies and fixation device
One configeration $2,540.00
American Medical Systems Pty Ltd
AM026 Perigee Transobturator Anterior
Prolapse Repair System
4 helical shaped needles with handles, 4 synthetic graft arms enclosed in plastic with a centre "cape" mesh.
One size $1,322.00
AM027 Apogee Vault Suspension System 2 stainless steel curved needles with handles, a
large pore polypropylene mesh attached in the centre of a polypropylene mesh enclosed in plastic sheaths and two dilating conectors.
One size $1,322.00
AM052 Elevate Anterior & Apical Prolapse
Repair System
AM053 Elevate Apical & Posterior Prolapse
Repair System
IntePro Lite Mesh and single use instuments for mesh placement.
IntePro Lite mesh and single use instruments for mesh placement
One size only. $1,322.00
one size only $1,322.00
BS155 Uphold Vaginal Support System Synthetic polypropylene mesh assembly and
fixation device
BS156 Pinnacle PFR Kit Posterior Synthetic polypropylene mesh assembly and
fixation device
BS194 Pinnacleâ„¢ Lite - PFR Kit Posterior Synthetic polypropylene mesh assemblies and
fixation device
One configuration $1,322.00
One configuration $1,322.00
One configuration $1,322.00
BS198 Upholdâ„¢ LITE Vaginal Support
System
Synthetic polypropylene mesh assemblies and fixation device
One configuration $1,322.00
Billing Code Product Name Description Size
ps
Benefit
Benefit
Condition
Coloplast Pty Ltd
CT022 Restorelle Direct Fix Anterior Restorelle Direct Fix A is designed specifically
for anatomical fixation and restoration of pelvic organ prolapse by transvaginal approach
CT033 Restorelle Direct Fix Posterior Restorelle Direct Fix P is designed specifically
for anatomical fixation and restoration of posterior pelvic organ prolapse by transvaginal approach
one size $865.00
One size $865.00
CT020 Restorelle XL Smartmesh Smartmesh, Type 1, macroporous, soft, knitted,
monofilament polypropylene mesh
Johnson & Johnson Medical Pty LtdJJ789 GYNECARE GYNEMESH Pelvic floor reconstructive material, lightweight
mesh
30cm x 30cm $677.00
25 x 25 cm $677.00
BS185 Xenform Soft Tissue Repair Matrix
2x7cm
BS186 Xenform Soft Tissue Repair Matrix
4x7cm
BS187 Xenform Soft Tissue Repair Matrix
6x10cm
Graft derived from fetal dermal bovine tissues 2x7cm $786.00
Graft derived from fetal dermal bovine tissues 4x7cm $786.00
Graft derived from fetal dermal bovine tissues 6x10cm $786.00
BS188 Xenform Soft Tissue Repair Matrix
8x12cm
Graft derived from fetal dermal bovine tissues 8x12cm $1,200.00
WC253 Surgisis Biodesign 4-layer Tissue
Graft
Surgisis Biodesign Posterior Pelvic Floor Graft 14cm x 16cm Site Specific Shape $1,200.00
Billing Code | Product Name | Description | Size | Benefit | Benefit | Condition |
WC254 | Surgisis Biodesign 4-layer Tissue Graft | Surgisis Biodesign Anterior Pelvic Floor Graft | 14cm x 14cm / 7cm x 10 cm (shaped) 9cm x 12cm (Trapezoide) | $1,200.00 |
|
|
5.4.3 - Bone and ligament fixation
AM010 Influence Bone Screw Bone screw with pre-attached polypropylene
monofilament suture. For incinsionless tranvaginal sling procedure. Loop Screw Bone Screw
5.5 x 1.7 mm $700.00
AM054 AMS Spectra Concealable Penile
Prosthesis
AMS Spectra Concealable Penile Prosthesis 9.5 mm x 12cm AMS Spectra
9.5 mm x 16cm AMS Spectra
9.5 mm x 20cm AMS Spectra 12 mm x 12cm AMS Spectra 12 mm x 16cm AMS Spectra 12 mm x 20cm AMS Spectra 14 mm x 12cm AMS Spectra 14 mm x 16cm AMS Spectra 14 mm x 20cm AMS Spectra 9.5mm Spectra Rear
$817.00
DE314 Malleable Penile Implant Consists of a membrane, filler product and
silicone tube
14-23cm $817.00
Coloplast Pty Ltd
CT007 Genesis Penile Prosthesis (Resist
Coated)
Malleable Penile Prosthesis (Resist Coated) Dia: 9.5 mm (14 - 23cm lengths), Dia: 11mm
(16 - 25cm lengths), Dia: 13mm (18 - 27cm lengths)
$900.00
Billing Code Product Name Description Size
5.5.2 - Inflatable - Two component
Benefit
Benefit
Condition
A
American Medical Systems Pty Ltd
AM041 AMS Ambicor AMS Ambicor Inflatable Penile Prostheses AMS Ambicor Inflatable Penile Prostheses
12.5mm in 14, 16 & 18cm length, 14mm in 16, 18 & 20cm length, 15.5mm in 18, 20 & 22cm length
$10,414.00
CT001 Excel Inflatable Penile Prosthesis (Resist Coated)
Two-piece inflatable penile prosthesis (Resist Coated)
Cylinder lengths 10,12,14,16,18,20,22cm & six rear-tip extenders (two each 1, 2 & 3cm)
$10,414.00
MD Solutions Australasia Pty Ltd
MB022 Zephyr Hydraulic Penile Implant This hydraulic penile implant is made from
silicone elastomer and comprises of two inflatable cylinders. a reservoir and a pump.
5.5.3 - Inflatable - Three component
All sizes contained in one system pack. (13, 16, 19 cm)
$10,414.00
AM022 AMS 700 Series Inflatable Penile
Prostheses Cylinders
700 Series (Non InhibiZone) 12, 14, 15, 16, 18, 21cm $3,520.00
American Medical Systems Pty Ltd
AM004 AMS 700 Series Inflatable Penile
Prostheses with Inhibizone Cylinders
Coloplast Pty Ltd
700 Series with InhibiZone 12, 14, 15, 16, 18, 21cm $3,830.00
CT008 Titan Inflatable Penile Prosthesis
(Resist Coated) - Cylinders
Cylinders for three component penile prosthesis (Resist Coated)
10, 12, 14, 16, 18, 20, 22cm $3,830.00
Billing Code Product Name Description Size
5.5.3.2 - Reservoir
American Medical Systems Pty Ltd
Benefit
Benefit
Condition
AM044 AMS 700 Series Inflatable Penile
Prostheses Reservoir non Inhibizone
700 Series (Non InhibiZone) 50, 65, 100ml $1,795.00
American Medical Systems Pty Ltd
AM038 AMS 700 Series Inflatable Penile
Prostheses InhibiZone Reservoir
Coloplast Pty Ltd
700 Series InhibiZone 50, 65, 100ml $1,980.00
CT010 Titan Inflatable Penile Prosthesis
(Resist Coated) - Lock-out Valve Reservoir
5.5.3.3 - Pump
Reservoir for three component penile prosthesis (Resist Coated)
60, 75, 100ml $1,980.00
AM042 AMS 700 Series Inflatable Penile Prostheses Pump
700 Series (Non InhibiZone) One Size $4,290.00
American Medical Systems Pty Ltd
AM036 AMS 700 Series Inflatable Penile
Prostheses with InhibiZone Pump
Coloplast Pty Ltd
700 Series with InhibiZone One Size $4,665.00
CT011 Titan Inflatable Penile Prosthesis
(Resist Coated) - Pump
5.5.3.4 - Deactivation set
Pump for three component penile prosthesis (Resist Coated)
One Size $4,665.00
American Medical Systems Pty LtdAM040 | AMS 700 Series Inflatable Penile Prostheses with InhibiZone Deactivation Package | 700 Series with InhibiZone | One Size | $135.00 |
AM046 | AMS 700 Series Inflatable Penile Prostheses Deactivation Package | 700 Series (Non InhibiZone) | One Size | $135.00 |
Billing Code Product Name Description Size
Coloplast Pty Ltd
Benefit
Benefit
Condition
CT012 Titan Inflatable Penile Prosthesis
(Resist Coated) - True-lock Plug
5.5.3.5 - Accessory kit
True Lock Plug for deactivation of three component penile prosthesis (Resist Coated)
One Size $135.00
AM045 AMS 700 Series Inflatable Penile
Prostheses Accessory Kit
700 Series (Non InhibiZone) One Size $689.00
Coloplast Pty Ltd
CT005 Titan Inflatable Penile Prosthesis
(Resist Coated) - Assembly Kit
5.5.3.6 - Pump and cylinder
Assembly kit for three component penile prosthesis (Resist Coated)
Standard & Narrow -base $689.00
AM043 AMS 700 Series Inflatable Penile
Prostheses Pump & Cylinders Preconnected
700 Series (Non InhibiZone) 12, 14, 15, 16, 18, 21cm $7,810.00
American Medical Systems Pty Ltd
AM037 AMS 700 Series Inflatable Penile
Prostheses with InhibiZone Pump & Cylinders Preconnected
700 Series with InhibiZone 12, 14, 15, 16, 18, 21cm $8,495.00
CT009 Titan Inflatable Penile Prosthesis
(Resist Coated) - Cylinders & Pump Preconnected
05.06.01 - Testicular prostheses
Preconnected Cylinders & pump for three component penile prosthesis (Resist Coated)
10, 12, 14, 16, 18, 20, 22cm (in both
infrapubic & scrotal models)
$8,495.00
AM015 AMS Testicular Prostheses Solid silicone elastomer with suture hole Small, Medium, Large $653.00
Coloplast Pty LtdCT003 Saline Filled Testicular Prosthesis Testicular Prosthesis Extra Small, Small, Medium, Large $653.00
Billing Code Product Name Description Size
Benefit
Benefit
Condition
CT004 Soft Solid Testicular Prosthesis Gel filled Testicular Prosthesis Small, Medium, Large & Extra Large $653.00
Device Technologies Australia Pty LtdDE324 Testicular Implant Silicone with holes for fixation 3230 5-38cc $653.00
Endotherapeutics Pty LtdET028 Promedon Testicular Prosthesis Silicone Elastomer Small - 31 x 23 mm, Medium - 37 x 28 mm, Large - 42 x 32 mm, Xlarge
$653.00
SP002 Testicular Implant Silicone Elastomer Small / Medium / Large $653.00
JT008 Testicular Implants Testicular Implants with needle guide or reinforced cap for fixation
5.7.1 - Primary Cell Pulse Generator (non-rechargeable)
The Testicular Implants with needle guide or reinforced cap are available in 5 different sizes ranging from 5, 12, 21, 27 and 36 grams.
$653.00
MC719 InterStim Neurostimulator Model
3023
Titanium 42g $9,550.00
MC755 InterStim II Neurostimulator Titanium Weight 22g $9,550.00
5.7.2 - External Components
MC756 InterStim iCON Patient Programmer Hand held device Model 3037 to be used with
implantable neurostimulation devices
5.7.2.2 - External Neurostimulator
Medtronic Australasia Pty Ltd
One size only $1,400.00
MI126 | Verify External Neurostimulator | External Neurostimulator | One size only | $1,200.00 |
MI128 | Medtronic Controller | Patient programmer | One size only | $1,200.00 |
Billing Code Product Name Description Size
5.7.3 - Lead
5.7.3.1 - Permanent
tined
Medtronic Australasia Pty Ltd
Benefit
Benefit
Condition
MI074 Sacral Nerve Stimulation Lead 4 Electrode tined lead 28 - 41cm $4,420.00
5.7.3.2 - Trial
MC185 Sacral Nerve Stimulation Unilateral Interstim Temporary test stimulation lead Various $393.00
5.7.3.3 - Extension
MC777 Interstim Extension Lead Quadripolar Extension Kit 10, 25, 51cm $1,510.00
5.7.3.4 - Trial kit including leads
MI169 Interstim Trial Lead and Screener Kit Trial lead and screener cables kit One size only $793.00
5.7.4 - Accessories
MC775 Interstim Lead Introducer Kit Lead Introducer Kit for Sacral Nerve
Stimulation
One size only $541.00
MC186 Sacral Nerve Stimulation Accessories Foramen Needle. (box of 6)
Sterile individual units. Stainless steel.
One size only; 9-12.5cm $130.00
Billing Code Product Name Description Size
5.7.4.3 - Connectors and Cables
Benefit
Benefit
Condition
Medtronic Australasia Pty Ltd
MI127 Medtronic Cables Stimulation Cables for Intraoperative testing Various $200.00
5.8.1 - Extraluminal
FE001 Filshie Clip Titanium One size only $155.00
with applicatorFemcare Australia Pty Ltd
FE003 Filshie Clips - Sterishot With Disposable Applicator One Size $410.00
5.8.1.2 - Band
OL079 Falope-Ring Bands Fallopian Tube Clip (each) 5mm - 12mm $39.00
5.8.2 - Intraluminal
AN013 Essure System (ESS305) Stainless steel, polyester fibre One size only, 2 per pack $1,196.00
05.09.01 - Nephrostomy Catheters
BS228 Flexima Nephrostomy Catheter Urinary drainage catheters for internal and
external drainage of the urinary tract.
Length up to 25cm $120.00
NG058 NEPHRO-CATH Nephrostomy Drainage Catheter
Nephrostomy Drainage Catheter Diameters: 8fr to 14fr sizes; Lengths 27cm through to 29cm
$120.00
Billing Code Product Name Description Size
WILLIAM A COOK AUSTRALIA PTY LTD
Benefit
Benefit
Condition
WC291 Dawson-Mueller Drainage Catheter A drainage catheter intended for use for
Nephrostomy applications either by direct stick or modified seldinger technique.
5-14 Fr, Length: 15-25cm $120.00
BA250 Navarre Drainage Catheter A drainage catheter intended for use for
Nephrostomy applications either by direct stick or modified seldinger technique.
6-12 French, Length: 15-40cm $120.00
CB018 Skater Nephrostomy Drainage
Catheter
A drainage catheter intended for use for Nephrostomy applications either by direct stick or modified seldinger technique.
6 - 14 Fr $120.00
LINK MEDICAL PRODUCTS PTY LTDLD001 | Deflux and Metal needle kit | Deflux is a sterile, highly viscous gel of dextranomer microspheres and non-animal stabilised hyaluronic acid constituting a biocompatible and biodegradable implant for the treatment of vesicoureteral reflux. The stabilised hyaluronic acid acts mainly as | 1 ml syringe and needle size 3.7FR x 23G x 350mm | $1,000.00 |
LD002 | Deflux | Deflux is a sterile, highly viscous gel of dextranomer microspheres and non-animal stabilised hyaluronic acid constituting a biocompatible and biodegradable implant for the treatment of vesicoureteral reflux. The stabilised hyaluronic acid acts mainly as | 1ml in syringe | $1,000.00 |
NEOGENIX PTY LTD
GN003 Vantris Bulking agent for the treatment of Vesicoureteric Reflux
1ml Syringe $1,000.00